Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FC0801X | Contact Lens Fitter | C004073-1 | NY |
N | 156FX1800X | Optician | C004073-1 | NY |
NPI | 1487927406 |
---|---|
Provider Name | Mr. Michael F Dinapoli |
First Address | Clifton Park, NY 12065-3881 |
Second Address | Albany, NY 12203-3520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2012 |
Last Update Date | 24/01/2019 |