| |
19 Main St, Fultonville, NY 12072-0427 | |
(518) 853-3999 | |
(518) 374-1818 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 19 Main St, Fultonville, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518078708 | NPI | - | NPPES |
54134 | Other | MVP | |
P114421 | Other | NY | BLUE CROSS |
10000492 | Other | CDPHP | |
000448056003 | Other | NY | BLUE SHIELD |
01554094 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | N004755 (New York) | Primary |
Provider Name | Robert C Dicaprio |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144321548 PECOS PAC ID: 4082709332 Enrollment ID: I20071001000666 |
Provider Name | Cailin Nicole Makar |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1467845842 PECOS PAC ID: 7719255397 Enrollment ID: I20170623000187 |
Mailing Address | Practice Location Address |
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Po Box 427, Fultonville, NY 12072-0427 Ph: (518) 853-3999 | 19 Main St, Fultonville, NY 12072-0427 Ph: (518) 853-3999 |
Dr. Robert Carl Dicaprio Jr., DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 19 Main St, Fultonville, NY 12072 Phone: 518-853-3999 Fax: 518-374-1818 |