Provider Demographics
NPI:1114616414
Name:WILLIAM N. CAPICOTTO, MD PC
Entity Type:Organization
Organization Name:WILLIAM N. CAPICOTTO, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:WEISHAAR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:716-881-0382
Mailing Address - Street 1:6580 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5898
Mailing Address - Country:US
Mailing Address - Phone:716-881-0382
Mailing Address - Fax:716-881-0422
Practice Address - Street 1:6580 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5898
Practice Address - Country:US
Practice Address - Phone:716-881-0382
Practice Address - Fax:716-881-0422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty