MEDICARE: DR. FRANK CAPONE D.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
1	111N00000X	Chiropractor	X002113-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0056598	OTHER	NY	GHI
2	920104	OTHER	NY	A.C.N.
3	2049074	OTHER	NY	AETNA
4	X12401	OTHER	NY	BLUE CROSS BLUE SHIELD
5	1040467	OTHER	NY	ASHN
6	7761961	OTHER	NY	CIGNA HEALTHCARE
7	P670771	OTHER	NY	OXFORD HEALTHPLANS
8	00000367518-01	OTHER	NY	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1538166244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK CAPONE D.C.

Provider Business Mailing Address
First Line	:	335 CENTRAL AVE
Second Line	:	2ND FLOOR
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1698
Country	:	US
Telephone Number	:	516-569-6611
Fax Number	:	516-569-6810

Provider Business Practice Location Address
First Line	:	335 CENTRAL AVE
Second Line	:	2ND FLOOR
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1698
Country	:	US
Telephone Number	:	516-569-6611
Fax Number	:	516-569-6810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. FRANK CAPONE D.C.” Practice Location

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