Provider Demographics
NPI:1316927007
Name:CIRILLO, SHIRLEY JANE (MD)
Entity type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:JANE
Last Name:CIRILLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:JANE
Other - Last Name:GO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1734 RIDGE RD E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-2157
Mailing Address - Country:US
Mailing Address - Phone:585-467-8888
Mailing Address - Fax:585-338-1217
Practice Address - Street 1:1734 RIDGE RD E
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14622-2157
Practice Address - Country:US
Practice Address - Phone:585-467-8888
Practice Address - Fax:585-338-1217
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2381472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology