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NPI Code Detail

MEDICARE: DR. JOSEPH M CAPETOLA O.D.

MEDICARE:  DR. JOSEPH M CAPETOLA  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristT004266NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410002138OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417939307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH M CAPETOLA O.D.
Provider Business Mailing Address
First Line : 218 PROSPECT PARK W
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-5802
Country : US
Telephone Number : 718-768-1498
Fax Number :
Provider Business Practice Location Address
First Line : 218 PROSPECT PARK W
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-5802
Country : US
Telephone Number : 718-768-1498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 12/12/2023

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Directions to “ DR. JOSEPH M CAPETOLA O.D.” Practice Location

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