Provider Demographics
NPI:1720875966
Name:CAPUTO, ANGELA MARIE (MA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:CAPUTO
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 KENSINGTON RD S
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY SOUTH
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5614
Mailing Address - Country:US
Mailing Address - Phone:516-426-5303
Mailing Address - Fax:
Practice Address - Street 1:155 KENSINGTON RD S
Practice Address - Street 2:
Practice Address - City:GARDEN CITY SOUTH
Practice Address - State:NY
Practice Address - Zip Code:11530-5614
Practice Address - Country:US
Practice Address - Phone:516-426-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist