Provider Demographics
NPI:1225004997
Name:NAPOLI, JOHN U (PHD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:U
Last Name:NAPOLI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 WEST HUMBOLDT PARKWAY
Mailing Address - Street 2:MONSIGNOR CARR CLINIC
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214
Mailing Address - Country:US
Mailing Address - Phone:716-835-9745
Mailing Address - Fax:716-835-6785
Practice Address - Street 1:76 WEST HUMBOLDT PARKWAY
Practice Address - Street 2:MONSIGNOR CARR CLINIC
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-0000
Practice Address - Country:US
Practice Address - Phone:716-835-9745
Practice Address - Fax:716-835-6785
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2095962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01821690Medicaid
NYBB3979Medicare ID - Type Unspecified