Basic Information
| Provider Information | |||||||||
| NPI: | 1225004997 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAPOLI | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | U. | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 76 WEST HUMBOLDT PARKWAY | ||||||||
| Address2: | MONSIGNOR CARR CLINIC | ||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14214 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168359745 | ||||||||
| FaxNumber: | 7168356785 | ||||||||
| Practice Location | |||||||||
| Address1: | 76 WEST HUMBOLDT PARKWAY | ||||||||
| Address2: | MONSIGNOR CARR CLINIC | ||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142140000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168359745 | ||||||||
| FaxNumber: | 7168356785 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2006 | ||||||||
| LastUpdateDate: | 01/11/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 209596 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 01821690 | 05 | NY | MEDICAID |