Provider Demographics
NPI:1447501440
Name:SCHIRRIPA, RICHARD D
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:D
Last Name:SCHIRRIPA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MARIROD CT
Mailing Address - Street 2:
Mailing Address - City:FORT SALONGA
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3354
Mailing Address - Country:US
Mailing Address - Phone:845-222-4056
Mailing Address - Fax:212-996-9440
Practice Address - Street 1:1407 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6930
Practice Address - Country:US
Practice Address - Phone:212-722-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY32902183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist