Provider Demographics
NPI:1568411650
Name:CAPITLE, EUGENIO M JR (MD)
Entity Type:Individual
Prefix:
First Name:EUGENIO
Middle Name:M
Last Name:CAPITLE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:68 NASSAU RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3526
Mailing Address - Country:US
Mailing Address - Phone:631-423-5599
Mailing Address - Fax:631-423-9137
Practice Address - Street 1:519 ROUTE 111
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-4350
Practice Address - Country:US
Practice Address - Phone:631-724-3355
Practice Address - Fax:631-724-9751
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY5972090207RR0500X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology