Provider Demographics
NPI:1013905801
Name:DIPIRRO, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:DIPIRRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 HARLEM RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-4031
Mailing Address - Country:US
Mailing Address - Phone:716-893-4797
Mailing Address - Fax:716-893-1697
Practice Address - Street 1:2625 HARLEM RD
Practice Address - Street 2:SUITE 180
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-4031
Practice Address - Country:US
Practice Address - Phone:716-893-4797
Practice Address - Fax:716-893-1697
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213542207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0411033OtherIHA
NY400768OtherWELLCARE
NY145828BJOtherPREFERRED CARE
NY000526059001OtherBC/BS
NY02082406Medicaid
NY040426035694OtherFIDELIS
NY00025066303OtherUNIVERA
NY00025066303OtherUNIVERA
NY040426035694OtherFIDELIS
NY02082406Medicaid