Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 188559 | NY |
NPI | 1225063571 |
---|---|
Provider Name | Mr. Peter N Capicotto |
First Address | Rochester, NY 14625-2658 |
Second Address | Rochester, NY 14625-2658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023187085 | NPI GROUP NUMBER (01) | NY |
10769K | (02) | NY |