Provider Demographics
NPI:1851313225
Name:CAPRIONI, ENRICO (DPM)
Entity Type:Individual
Prefix:DR
First Name:ENRICO
Middle Name:
Last Name:CAPRIONI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3336
Mailing Address - Country:US
Mailing Address - Phone:718-369-7192
Mailing Address - Fax:718-369-4554
Practice Address - Street 1:376 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3336
Practice Address - Country:US
Practice Address - Phone:718-369-7192
Practice Address - Fax:718-369-4554
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005043213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01430551Medicaid
NY01430551Medicaid
NYU39443Medicare UPIN