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Individual

EUGENIO M CAPITLE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
519 ROUTE 111, HAUPPAUGE, NY 11788-4350
(631) 724-3355
(631) 724-9751
Mailing address
68 NASSAU RD, HUNTINGTON, NY 11743-3526
(631) 423-5599
(631) 423-9137

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
5972090
NY
207RR0500X
Rheumatology Physician
5972090
NY

Other

Enumeration date
05/08/2006
Last updated
02/03/2022
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