Individual
CAITLYN MARIE CAPUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 GALAXIE LN, SELDEN, NY 11784-2925
(631) 747-7067
Mailing address
29 GALAXIE LN, SELDEN, NY 11784-2925
(631) 747-7067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DJL000042754
BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/04/2018
Last updated
09/04/2018
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