MEDICARE: ANTHONY R NAPOLITANO MD 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		NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	653381	OTHER	NY	BCBS
2	653382	OTHER	NY	BCBS

General Provider Information

NPI Number	:	1215065578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY R NAPOLITANO MD PC

Provider Business Mailing Address
First Line	:	8212 151ST AVE
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-1761
Country	:	US
Telephone Number	:	718-738-8787
Fax Number	:	718-738-8198

Provider Business Practice Location Address
First Line	:	10170 LEFFERTS BLVD
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-2081
Country	:	US
Telephone Number	:	718-739-8550
Fax Number	:	718-441-6410

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY R NAPOLITANO
Credential	:	MD
Telephone Number	:	718-738-8787

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/21/2022

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