Eddy Capote Jr. Md Pc | |
13105 Centerline Rd South Wales NY 14139-9764 | |
(716) 713-1433 | |
Not Available |
Full Name | Eddy Capote Jr. Md Pc |
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Speciality | Family Medicine - Adult Medicine |
Location | 13105 Centerline Rd, South Wales, New York |
Authorized Official Name and Position | Eddy Capote (CEO) |
Authorized Official Contact | 7167131433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eddy Capote Jr. Md Pc 13105 Centerline Rd South Wales NY 14139-9764 Ph: (716) 713-1433 | Eddy Capote Jr. Md Pc 13105 Centerline Rd South Wales NY 14139-9764 Ph: (716) 713-1433 |
NPI Number | 1225355548 |
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Provider Enumeration Date | 04/26/2010 |
Last Update Date | 04/26/2010 |
Identifier | Type | State | Issuer |
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1225355548 | NPI | - | NPPES |
1598902082 | Other | NY | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | 251634 (New York) | Primary |