Healthcare Provider Details

I. General information

NPI: 1508084096
Provider Name (Legal Business Name): DINAPOLI AND DINAPOLI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 05/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

266 DELAWARE AVE
DELMAR NY
12054-1134
US

IV. Provider business mailing address

19 CLIFTON COUNTRY RD
CLIFTON PARK NY
12065-3881
US

V. Phone/Fax

Practice location:
  • Phone: 518-439-3551
  • Fax: 518-439-2508
Mailing address:
  • Phone: 518-373-0003
  • Fax: 518-373-1023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

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