Provider Demographics
NPI:1417980814
Name:AUGUST P. SINICROPI, O.D.
Entity Type:Organization
Organization Name:AUGUST P. SINICROPI, O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUST
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SINICROPI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:315-568-6991
Mailing Address - Street 1:122 EAST BAYARD ST
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-1428
Mailing Address - Country:US
Mailing Address - Phone:315-568-6991
Mailing Address - Fax:315-568-8454
Practice Address - Street 1:122 EAST BAYARD ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1428
Practice Address - Country:US
Practice Address - Phone:315-568-6991
Practice Address - Fax:315-568-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003041-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY14900BMedicare ID - Type Unspecified
NY14900AMedicare ID - Type Unspecified
NY0421810001Medicare NSC
NY20195Medicare UPIN