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Individual
PATRICK J. GRIPPO
Active
Individual
PATRICK J. GRIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005738-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182176
—
NY
01
—
P00321765
MEDICARE RAILROAD PTAN
—
Enumeration date
08/28/2006
Last updated
03/17/2018
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