Provider Demographics
NPI:1780620948
Name:SINICROPI, AUGUST PATRICK (OD)
Entity type:Individual
Prefix:DR
First Name:AUGUST
Middle Name:PATRICK
Last Name:SINICROPI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E BAYARD ST
Mailing Address - Street 2:
Mailing Address - City:SENECA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13148-1640
Mailing Address - Country:US
Mailing Address - Phone:315-568-6991
Mailing Address - Fax:315-568-8454
Practice Address - Street 1:122 E BAYARD ST
Practice Address - Street 2:
Practice Address - City:SENECA FALLS
Practice Address - State:NY
Practice Address - Zip Code:13148-1640
Practice Address - Country:US
Practice Address - Phone:315-568-6991
Practice Address - Fax:315-568-8454
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003041-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP010003041OtherEXCELLUS
NY0421810001Medicare NSC
NY20195Medicare UPIN