Healthcare Provider Details

I. General information

NPI: 1619044807
Provider Name (Legal Business Name): DINAPOLI & DINAPOLI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 WESTERN AVE STUYVESANT PLAZA
ALBANY NY
12203-3520
US

IV. Provider business mailing address

19 CLIFTON COUNTRY RD
CLIFTON PARK NY
12065-3881
US

V. Phone/Fax

Practice location:
  • Phone: 518-489-8476
  • Fax: 518-489-0236
Mailing address:
  • Phone: 518-373-0003
  • Fax: 518-373-1023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL T MURPHY
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 518-373-0003