Healthcare Provider Details

I. General information

NPI: 1619884491
Provider Name (Legal Business Name): LAINA CAPARASO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086B UNION RD
WEST SENECA NY
14224-3449
US

IV. Provider business mailing address

1086B UNION RD
WEST SENECA NY
14224-3449
US

V. Phone/Fax

Practice location:
  • Phone: 716-608-6730
  • Fax: 716-608-6445
Mailing address:
  • Phone: 716-608-6730
  • Fax: 716-608-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number056317
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: