Provider Demographics
NPI:1669886636
Name:POLITI, MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:POLITI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:14 GLEN COVE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1732
Mailing Address - Country:US
Mailing Address - Phone:516-403-2565
Mailing Address - Fax:936-209-5957
Practice Address - Street 1:14 GLEN COVE RD STE 3
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1732
Practice Address - Country:US
Practice Address - Phone:516-500-3909
Practice Address - Fax:936-209-5957
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY280492207W00000X, 207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist