Provider Demographics
NPI:1831178854
Name:CAPUANA, NICHOLAS J (MD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:J
Last Name:CAPUANA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2 ELLINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-1102
Mailing Address - Country:US
Mailing Address - Phone:315-363-1110
Mailing Address - Fax:315-363-4441
Practice Address - Street 1:131 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-1641
Practice Address - Country:US
Practice Address - Phone:315-363-1110
Practice Address - Fax:315-363-4441
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2025-05-18
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Provider Licenses
StateLicense IDTaxonomies
NY112705207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00577853Medicaid
NY00577853Medicaid
NYB81383Medicare UPIN