MEDICARE: AUGUST P. SINICROPI, O.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	152W00000X	Optometrist	TUV003041-1	NY

General Provider Information

NPI Number	:	1417980814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUGUST P. SINICROPI, O.D.

Provider Business Mailing Address
First Line	:	122 EAST BAYARD ST
Second Line	:
City	:	SENECA FALLS
State	:	NY
Zip	:	13148-1428
Country	:	US
Telephone Number	:	315-568-6991
Fax Number	:	315-568-8454

Provider Business Practice Location Address
First Line	:	122 EAST BAYARD ST
Second Line	:
City	:	SENECA FALLS
State	:	NY
Zip	:	13148-1428
Country	:	US
Telephone Number	:	315-568-6991
Fax Number	:	315-568-8454

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. AUGUST PATRICK SINICROPI
Credential	:	O.D.
Telephone Number	:	315-568-6991

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	01/06/2010

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