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Contact Information

ANTHONY CAPPADORA, PA
57190 MAIN RD
SOUTHOLD, NY11971-4750
 Phone: 631-626-1006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANTHONY CAPPADORA · (Male)

NPI # 1891195731
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/28/2014
Last updated 08/11/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 017895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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