MEDICARE: DR. AMANDA MICHELLE STIRPE AU.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	002660	NY

General Provider Information

NPI Number	:	1679924906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMANDA MICHELLE STIRPE AU.D

Provider Business Mailing Address
First Line	:	560 WHITE PLAINS RD
Second Line	:	SUITE 615
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-5113
Country	:	US
Telephone Number	:	914-984-2534
Fax Number	:	914-425-0480

Provider Business Practice Location Address
First Line	:	400 OLD COUNTRY RD
Second Line	:
City	:	RIVERHEAD
State	:	NY
Zip	:	11901-2148
Country	:	US
Telephone Number	:	631-727-8050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	07/07/2016

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