Provider Demographics
NPI:1720089568
Name:CAPROW, STEVEN R (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:CAPROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 HERTEL AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-3002
Mailing Address - Country:US
Mailing Address - Phone:716-835-0066
Mailing Address - Fax:716-835-9700
Practice Address - Street 1:1748 HERTEL AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-3002
Practice Address - Country:US
Practice Address - Phone:716-835-0066
Practice Address - Fax:716-835-9700
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002419-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY081930Medicare ID - Type Unspecified