MEDICARE: MARY SUSAN NAPOLEON M.D.

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	207W00000X	Ophthalmology Physician	145955	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	040426005030	OTHER	NM	FIDELS CARE
3	770140	OTHER	NY	MVP
4	6742	OTHER	NY	BLUE CROSS/BLUE SHIELD
5	102386CR	OTHER	NY	PREFERRED CARE
6	0070649	OTHER	NY	GHI

General Provider Information

NPI Number	:	1003812454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY SUSAN NAPOLEON M.D.

Provider Business Mailing Address
First Line	:	1210 DRIVING PARK AVE
Second Line	:
City	:	NEWARK
State	:	NY
Zip	:	14513-1057
Country	:	US
Telephone Number	:	315-331-8921
Fax Number	:	315-331-8231

Provider Business Practice Location Address
First Line	:	1210 DRIVING PARK AVE
Second Line	:
City	:	NEWARK
State	:	NY
Zip	:	14513-1057
Country	:	US
Telephone Number	:	315-331-8921
Fax Number	:	315-331-8231

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	07/09/2007

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