Organization
EDDY CAPOTE JR. MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDY CAPOTE JR. MD (CEO)
(716) 713-1433
Entity
Organization
Contact information
Practice address
13105 CENTERLINE RD, SOUTH WALES, NY 14139-9764
(716) 713-1433
Mailing address
13105 CENTERLINE RD, SOUTH WALES, NY 14139-9764
(716) 713-1433
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
251634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598902082
INDIVIDUAL NPI
NY
Enumeration date
04/26/2010
Last updated
04/26/2010
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