| Organization Name: | EDDY CAPOTE JR. MD PC |
| NPI Number: | 1225355548 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDDY CAPOTE (CEO) |
| Mailing Address: | 13105 Centerline Rd South Wales |
| State: | NY US |
| Postal Code: | 141399764 |
| Phone Number: | 7167131433 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2010 |
| NPI Last Update Date: | 04/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 251634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |