Individual
JOHN CAPUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 GAIL CT, CHESTNUT RIDGE, NY 10977-6206
(845) 558-0172
Mailing address
3 GAIL CT, CHESTNUT RIDGE, NY 10977-6206
(845) 558-0172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000020878
BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
—
Enumeration date
06/09/2015
Last updated
06/09/2015
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