Provider Demographics
NPI:1851549802
Name:CAPONE, HARRY E SR (RN)
Entity Type:Individual
Prefix:MR
First Name:HARRY
Middle Name:E
Last Name:CAPONE
Suffix:SR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9129 ARTHUR JENKINS RD
Mailing Address - Street 2:
Mailing Address - City:CANASTOTA
Mailing Address - State:NY
Mailing Address - Zip Code:13032-4437
Mailing Address - Country:US
Mailing Address - Phone:315-697-3395
Mailing Address - Fax:
Practice Address - Street 1:9129 ARTHUR JENKINS RD
Practice Address - Street 2:
Practice Address - City:CANASTOTA
Practice Address - State:NY
Practice Address - Zip Code:13032-4437
Practice Address - Country:US
Practice Address - Phone:315-697-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY467823-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse