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NPI Code Detail

MEDICARE: CAPOLINO OF NEW YORK CITY CHIROPRACTIC, P.C.

MEDICARE: CAPOLINO OF NEW YORK CITY CHIROPRACTIC, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1033491980
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPOLINO OF NEW YORK CITY CHIROPRACTIC, P.C.
Provider Business Mailing Address
First Line : 36 HAMILTON AVE
Second Line : 1S
City : STATEN ISLAND
State : NY
Zip : 10301-1816
Country : US
Telephone Number : 845-709-5500
Fax Number : 718-720-7683
Provider Business Practice Location Address
First Line : 36 HAMILTON AVE
Second Line : 1S
City : STATEN ISLAND
State : NY
Zip : 10301-1816
Country : US
Telephone Number : 845-709-5500
Fax Number : 718-720-7683
Authorized Official
Title or Position : OWNER
Name : TOM F CAPOLINO
Credential : D.C.
Telephone Number : 845-709-5500
Provider Enumeration Date : 09/16/2011
Last Update Date : 09/16/2011

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Directions to “CAPOLINO OF NEW YORK CITY CHIROPRACTIC, P.C. ” Practice Location

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