Provider Demographics
NPI:1285895847
Name:SCORDI-BELLO, IRINI ANDREA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:IRINI
Middle Name:ANDREA
Last Name:SCORDI-BELLO
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 1ST AVE
Mailing Address - Street 2:PH1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5093
Mailing Address - Country:US
Mailing Address - Phone:212-241-3341
Mailing Address - Fax:
Practice Address - Street 1:2021 1ST AVE
Practice Address - Street 2:PH1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-5093
Practice Address - Country:US
Practice Address - Phone:212-241-3341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247451207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400014331Medicare PIN
NYA400014330Medicare PIN