Provider Demographics
NPI:1912252610
Name:GEORGE T SCHIRRIPA M D P C
Entity Type:Organization
Organization Name:GEORGE T SCHIRRIPA M D P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TANNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:914-969-5050
Mailing Address - Street 1:970 N BROADWAY
Mailing Address - Street 2:STE 109
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1310
Mailing Address - Country:US
Mailing Address - Phone:914-969-5050
Mailing Address - Fax:914-423-5680
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:STE 109
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1310
Practice Address - Country:US
Practice Address - Phone:914-969-5050
Practice Address - Fax:914-423-5680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172145207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE65852Medicare UPIN
NY50F331Medicare PIN