Provider Demographics
NPI:1184865644
Name:NAPOLEONE, JOSEPH DOMINIC (PT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DOMINIC
Last Name:NAPOLEONE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 CAMPBELL AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-6243
Mailing Address - Country:US
Mailing Address - Phone:518-203-6761
Mailing Address - Fax:518-203-6762
Practice Address - Street 1:506 CAMPBELL AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-6243
Practice Address - Country:US
Practice Address - Phone:518-203-6761
Practice Address - Fax:518-203-6762
Is Sole Proprietor?:No
Enumeration Date:2009-03-13
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02204225100000X
NY034831-1225100000X
PAPT021076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01332979OtherRR MEDICARE
NYJ400066732Medicare PIN
PA204466R9XMedicare Oscar/Certification