Provider Demographics
NPI:1407021645
Name:MICHAEL A NAPOLI DPM PC
Entity Type:Organization
Organization Name:MICHAEL A NAPOLI DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:631-669-6662
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005109213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWXYPR1Medicare PIN
NY5474960001Medicare NSC