Individual
PATRICK J. GRIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 279-5187
(845) 279-5168
Mailing address
111 CLOCK TOWER CMNS, BREWSTER, NY 10509-4055
(845) 592-4915
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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