Organization
YORKGITIS & GRIENEISEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEB L MCCLINTOCK CPOT (OFFICE MGR)
(717) 249-4948
Entity
Organization
Contact information
Practice address
25 STATE AVE, CARLISLE, PA 17013-4420
(717) 249-4948
(717) 249-0558
Mailing address
25 STATE AVE, CARLISLE, PA 17013-4420
(717) 249-4948
(717) 249-0558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0EG000260
PA
152W00000X
Optometrist
Primary
0EG000411
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410007529
RAILROAD MEDICARE
PA
01
—
410043638
RAILROAD MEDICARE
PA
Enumeration date
05/04/2007
Last updated
10/15/2008
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