Provider Demographics
NPI:1821146499
Name:NAPOLITANO, ANTHONY R (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:R
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10170 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2081
Mailing Address - Country:US
Mailing Address - Phone:718-739-8550
Mailing Address - Fax:718-441-6410
Practice Address - Street 1:10170 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-2081
Practice Address - Country:US
Practice Address - Phone:718-739-8550
Practice Address - Fax:718-441-6410
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111453207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY653381OtherBCBS
NY180009271OtherRAILROAD
NY653382OtherBCBS
NY00200519Medicaid
NY00200519Medicaid
NY74371Medicare PIN
B17563Medicare UPIN
NYG400000756Medicare PIN