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Eddy Capote Jr. Md Pc
Adult Medicine Physician in South Wales, New York
NPI 1225355548

Eddy Capote Jr. Md Pc is an Adult Medicine Physician based in South Wales, NY and is specialized in Adult Medicine. Eddy Capote Jr. Md Pc practices in South Wales, NY. The NPI Number for Eddy Capote Jr. Md Pc is 1225355548 and holds a License No. 251634 (New York).

The current practice location address for Eddy Capote Jr. Md Pc is 13105 Centerline Rd, South Wales, NY and can be reached out via phone at 716-713-1433.

Location: 13105 Centerline Rd, South Wales, NY, 14139-9764
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225355548
Provider Name
Eddy Capote Jr. Md Pc
Credential
Provider Entity Type
Organization
Address
13105 Centerline Rd, South Wales, NY, 14139-9764
Phone Number
716-713-1433
Fax Number
Provider Enumeration Date
04/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598902082 01 NY INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
13105 Centerline Rd
City
South Wales
State
New York
Zip
14139-9764
Phone Number
716-713-1433
Fax Number
person
Provider Business Mailing Address Details
Address
13105 Centerline Rd
City
South Wales
State
New York
Zip
14139-9764
Phone Number
716-713-1433
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
251634 (New York)
Definition
Definition to come.
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