Organization
PLASTIC COSMETIC AND RESTORATIVE SURGERY PLLC
Active
Other names
PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JOSEPH CAPUANO MD (DIRECTOR)
(515) 225-0680
Entity
Organization
Contact information
Practice address
2640 RIDGEWAY AVENUE, ROCHESTER, NY 14626
(585) 225-0680
(585) 225-1324
Mailing address
2640 RIDGEWAY AVENUE, ROCHESTER, NY 14626
(585) 225-0680
(585) 225-1324
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
1052901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100585E0
PREFERRED CARE
—
01
—
P020105290
BCBS AND BLUE CHOICE
—
Enumeration date
05/17/2006
Last updated
04/29/2008
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