Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 249173 | NY |
NPI | 1144426321 |
---|---|
Provider Name | Dr. Craig M Capeci |
First Address | New York, NY 10010-3003 |
Second Address | New York, NY 10028-0112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2007 |
Last Update Date | 05/04/2012 |