Provider Demographics
NPI:1053548719
Name:DR. ENRICO CAPRIONI D.P.M. PC
Entity type:Organization
Organization Name:DR. ENRICO CAPRIONI D.P.M. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ENRICO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPRIONI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-369-7192
Mailing Address - Street 1:376 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3336
Mailing Address - Country:US
Mailing Address - Phone:718-369-7192
Mailing Address - Fax:718-369-4554
Practice Address - Street 1:376 6TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3336
Practice Address - Country:US
Practice Address - Phone:718-369-7192
Practice Address - Fax:718-369-4554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005043213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01430551Medicaid
NYP60702Medicare PIN
NYU39443Medicare UPIN