Provider Demographics
NPI:1437158763
Name:CAPO, JOSEPH M (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:CAPO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2870 HEMPSTEAD TPKE
Mailing Address - Street 2:STE 203
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1341
Mailing Address - Country:US
Mailing Address - Phone:516-731-6644
Mailing Address - Fax:516-731-8746
Practice Address - Street 1:2870 HEMPSTEAD TPKE
Practice Address - Street 2:STE 203
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1341
Practice Address - Country:US
Practice Address - Phone:516-731-6644
Practice Address - Fax:516-731-8746
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2021-06-05
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Provider Licenses
StateLicense IDTaxonomies
NY154515207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A60480Medicare UPIN
NYW86921Medicare ID - Type Unspecified