MEDICARE: MICHAEL POLITI DO PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1194485847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL POLITI DO PC

Provider Business Mailing Address
First Line	:	14 GLEN COVE RD STE 3
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1732
Country	:	US
Telephone Number	:	516-403-2565
Fax Number	:	936-209-5957

Provider Business Practice Location Address
First Line	:	14 GLEN COVE RD STE 3
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1732
Country	:	US
Telephone Number	:	516-241-8201
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. MICHAEL POLITI
Credential	:	DO
Telephone Number	:	516-241-8201

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	01/08/2026

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