Provider Demographics
NPI:1508084096
Name:DINAPOLI AND DINAPOLI, INC.
Entity Type:Organization
Organization Name:DINAPOLI AND DINAPOLI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-373-0003
Mailing Address - Street 1:19 CLIFTON COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3881
Mailing Address - Country:US
Mailing Address - Phone:518-373-0003
Mailing Address - Fax:518-373-1023
Practice Address - Street 1:266 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1134
Practice Address - Country:US
Practice Address - Phone:518-439-3551
Practice Address - Fax:518-439-2508
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DINAPOLI AND DINAPOLI, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-23
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A08009027OtherMEDICARE BILLING GROUP #
546600AMedicare PIN
A08009027OtherMEDICARE BILLING GROUP #