| Doctor Name: | DR. SUSAN P OPAR |
| NPI Number: | 1487620589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 23525 |
| Business Practice Address: | 4164 Route 2 Cropseyville, NY - 12052 |
| Business Phone Number: | 5182130450 |
| Business Fax Number: | 5182791716 |
| Mailing Address: | 711 Troy Schenectady Rd, Suite 201 LATHAM |
| State: | NY |
| Postal Code: | 121102442 |
| Phone Number: | 5182130478 |
| Fax Number: | 5187823799 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 04/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 23525 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |