Provider Demographics
NPI:1619044807
Name:DINAPOLI & DINAPOLI, INC.
Entity Type:Organization
Organization Name:DINAPOLI & DINAPOLI, INC.
Other - Org Name:DINAPOLI OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
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 1:1475 WESTERN AVE
Practice Address - Street 2:STUYVESANT PLAZA
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3520
Practice Address - Country:US
Practice Address - Phone:518-489-8476
Practice Address - Fax:518-489-0236
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DINAPOLI & DINAPOLI, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-30
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0696890002Medicare NSC
NY0696890002Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER