Provider Demographics
NPI:1750572459
Name:NAPOLITANO, MELANIA (OD)
Entity type:Individual
Prefix:DR
First Name:MELANIA
Middle Name:
Last Name:NAPOLITANO
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6632 75TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-2218
Mailing Address - Country:US
Mailing Address - Phone:917-549-9329
Mailing Address - Fax:
Practice Address - Street 1:217 MINEOLA BLVD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2545
Practice Address - Country:US
Practice Address - Phone:516-747-1700
Practice Address - Fax:516-747-1707
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007202-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2924225Medicaid
NYA300019099Medicare PIN