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NPI Code Detail

MEDICARE: DR. VINCENT KEITH CAPONE D.M.D.

MEDICARE: DR. VINCENT KEITH CAPONE D.M.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
11223G0001XGeneral Practice Dentistry036209NY

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 : 1528164878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT KEITH CAPONE D.M.D.
Provider Business Mailing Address
First Line : 837 DEER PARK AVE
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-3811
Country : US
Telephone Number : 631-587-4545
Fax Number : 631-587-4752
Provider Business Practice Location Address
First Line : 837 DEER PARK AVE
Second Line :
City : NORTH BABYLON
State : NY
Zip : 11703-3811
Country : US
Telephone Number : 631-587-4545
Fax Number : 631-587-4752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/08/2007

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