Capone, Vincent Keith

Capone, Vincent Keith is an sole proprietor health care provider with primary practice located at 837 Deer Park Ave , North Babylon NY 11703-3811. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Capone, Vincent Keith can be contacted via phone (631) 587-4545.

Contact Information

Primary practice address
837 Deer Park Ave North Babylon NY 11703-3811
Fax: (631) 587-4752
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 036209 New York

Profile Details

NPI number 1528164878
LBN Legal business name Capone, Vincent Keith
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528164878 NPPES
New York MEDICAID 0219991

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