# EDDY CAPOTE JR. MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225355548
- **Authorized official:** DR. EDDY CAPOTE JR. MD (CEO)
- **Authorized official phone:** (716) 713-1433

## Contact information

- **Practice address:** 13105 CENTERLINE RD, SOUTH WALES, NY 14139-9764
- **Practice address phone:** (716) 713-1433
- **Mailing address:** 13105 CENTERLINE RD, SOUTH WALES, NY 14139-9764
- **Mailing address phone:** (716) 713-1433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 251634 | NY | Yes |

## Other

- **Enumeration date:** 04/26/2010
- **Last updated:** 04/26/2010