Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 231602 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 231602 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 231602 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 231602 | NY |
NPI | 1538160700 |
---|---|
Provider Name | Mr. Matthew R Dicaprio |
First Address | Schenectady, NY 12305-2014 |
Second Address | Schenectady, NY 12305-2014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02533659 | (05) | NY |
I07693 | (02) | NY |