MEDICARE: ARTHUR DINAPOLI MD PHD 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	207QG0300X	Geriatric Medicine (Family Medicine) Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1891014395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTHUR DINAPOLI MD PHD PC

Provider Business Mailing Address
First Line	:	9 ELWYN LN
Second Line	:
City	:	WOODSTOCK
State	:	NY
Zip	:	12498-1301
Country	:	US
Telephone Number	:	845-679-7876
Fax Number	:	845-679-3324

Provider Business Practice Location Address
First Line	:	9 ELWYN LN
Second Line	:
City	:	WOODSTOCK
State	:	NY
Zip	:	12498-1301
Country	:	US
Telephone Number	:	845-679-7876
Fax Number	:	845-679-3324

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. MAIME DISCLAFANI
Credential	:
Telephone Number	:	845-679-7876

Provider Enumeration Date	:	05/24/2010
Last Update Date	:	05/24/2010

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