Healthcare Provider Details

I. General information

NPI: 1861021230
Provider Name (Legal Business Name): CHRISTINA NAPOLI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 E MAIN ST STE LL5
SMITHTOWN NY
11787-2980
US

IV. Provider business mailing address

939 JOHNSON AVE
RONKONKOMA NY
11779-6066
US

V. Phone/Fax

Practice location:
  • Phone: 631-724-0600
  • Fax: 631-724-0606
Mailing address:
  • Phone: 631-471-7242
  • Fax: 631-369-4421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number061160
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: