Provider Demographics
NPI:1073860656
Name:CAPUTO, DARLENE MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:MARIE
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 BEATRICE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-1529
Mailing Address - Country:US
Mailing Address - Phone:631-669-4225
Mailing Address - Fax:
Practice Address - Street 1:104 BEATRICE AVE
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-1529
Practice Address - Country:US
Practice Address - Phone:631-669-4225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY358256163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse