Caprioli, Russell
Caprioli, Russell is an individual health care provider with primary practice located at 375 N Central Ave , Valley Stream NY 11580. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Caprioli, Russell can be contacted via phone (516) 568-2319.Contact Information
Primary practice address
375 N Central Ave
Valley Stream NY 11580
Phone: (516) 568-2319
Fax: (516) 568-2318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N003712 | New York |
Profile Details
| NPI number | 1679507792 |
|---|---|
| LBN Legal business name | Caprioli, Russell |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Sep 27th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679507792 | NPPES |
| New York | MEDICAID | 00869769 |
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