Basic Information
| Provider Information | |||||||||
| NPI: | 1003322751 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DENAPOLI | ||||||||
| FirstName: | THOMAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45 CROSSWAYS PARK DR W | ||||||||
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| City: | WOODBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117972002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5164228080 | ||||||||
| FaxNumber: | 5169924637 | ||||||||
| Practice Location | |||||||||
| Address1: | 444 MERRICK RD | ||||||||
| Address2: | |||||||||
| City: | LYNBROOK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115632460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165363800 | ||||||||
| FaxNumber: | 5165364588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2017 | ||||||||
| LastUpdateDate: | 03/29/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | 021674 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.