Provider Demographics
NPI:1053475939
Name:CAPOTE, HORACIO (MD)
Entity Type:Individual
Prefix:
First Name:HORACIO
Middle Name:
Last Name:CAPOTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3980 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1727
Mailing Address - Country:US
Mailing Address - Phone:716-250-2000
Mailing Address - Fax:716-250-2040
Practice Address - Street 1:3980 SHERIDAN DR STE 500
Practice Address - Street 2:DENT NEUROLOGIC GROUP, LLP
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1727
Practice Address - Country:US
Practice Address - Phone:716-250-2000
Practice Address - Fax:716-636-1365
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1905562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000524638010OtherBLUE CROSS & BLUE SHIELD
NY01731731Medicaid
NY1509078OtherINDEPENDENT HEALTH
NY00010336306OtherUNIVERA
NY000524638009OtherBLUE CROSS & BLUE SHIELD
NY01731731Medicaid
NY1509078OtherINDEPENDENT HEALTH