Provider Demographics
NPI:1134260490
Name:ROBERTI NAPOLI, DONNA MARIE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:ROBERTI NAPOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:MARIE
Other - Last Name:ROBERTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN AND LPN
Mailing Address - Street 1:86 SALEM ROAD
Mailing Address - Street 2:
Mailing Address - City:LAKE CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512
Mailing Address - Country:US
Mailing Address - Phone:845-225-7208
Mailing Address - Fax:
Practice Address - Street 1:23 LAWRENCE STREET
Practice Address - Street 2:
Practice Address - City:MT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-864-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY480940163W00000X
CTR53349163W00000X
NY2414121164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01688068Medicaid