Healthcare Provider Details

I. General information

NPI: 1902330491
Provider Name (Legal Business Name): FRANK SCHIRRIPA D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVENUE
STATEN ISLAND NY
10305
US

IV. Provider business mailing address

475 SEAVIEW AVE
STATEN ISLAND NY
10305-3436
US

V. Phone/Fax

Practice location:
  • Phone: 646-938-6598
  • Fax:
Mailing address:
  • Phone: 646-938-6598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number307806-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: