Provider Demographics
NPI:1265589444
Name:G. RICHARD PARRINO, M.D., P.C.
Entity type:Organization
Organization Name:G. RICHARD PARRINO, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-715-9700
Mailing Address - Street 1:123 MARLBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2012
Mailing Address - Country:US
Mailing Address - Phone:914-715-9700
Mailing Address - Fax:914-941-9191
Practice Address - Street 1:200 S BROADWAY
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-4500
Practice Address - Country:US
Practice Address - Phone:914-631-8826
Practice Address - Fax:914-631-0558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091855174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00508049Medicaid
NYB15071Medicare UPIN
NY00508049Medicaid