Provider Demographics
NPI:1073694824
Name:NAPOLI, MICHAEL A (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:NAPOLI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 ROUTE 109
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-6212
Mailing Address - Country:US
Mailing Address - Phone:631-669-6662
Mailing Address - Fax:631-669-6668
Practice Address - Street 1:142 ROUTE 109
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-6212
Practice Address - Country:US
Practice Address - Phone:631-669-6662
Practice Address - Fax:631-669-6668
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005109213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU61424Medicare UPIN
NYP49221Medicare ID - Type Unspecified
NY5474960001Medicare NSC