| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 04/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225355548 | NPI | - | NPPES |
| 1598902082 | Other | NY | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 251634 (New York) | Primary |