Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 145955 | NY |
NPI | 1003812454 |
---|---|
Provider Name | Mary Susan Napoleon |
First Address | Newark, NY 14513-1057 |
Second Address | Newark, NY 14513-1057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0070649 | GHI (01) | NY |
00711211 | (05) | NY |
040426005030 | FIDELS CARE (01) | NM |
102386CR | PREFERRED CARE (01) | NY |
6742 | BLUE CROSS/BLUE SHIELD (01) | NY |
770140 | MVP (01) | NY |
B75022 | (02) | NY |