Healthcare Provider Details

I. General information

NPI: 1801121603
Provider Name (Legal Business Name): JULIANA CAPATOSTO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2009
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ST NW L209
WASHINGTON DC
20520-5712
US

IV. Provider business mailing address

350 OCEAN PKWY APT 2A
BROOKLYN NY
11218-4652
US

V. Phone/Fax

Practice location:
  • Phone: 408-601-0157
  • Fax:
Mailing address:
  • Phone: 203-823-7976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number255034-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: