Provider Demographics
NPI:1598840662
Name:DELL'ARCIPRETE, GINA A (OD)
Entity type:Individual
Prefix:DR
First Name:GINA
Middle Name:A
Last Name:DELL'ARCIPRETE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 EASTBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6403
Mailing Address - Country:US
Mailing Address - Phone:845-352-3538
Mailing Address - Fax:
Practice Address - Street 1:811 CHESTNUT RIDGE RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-6330
Practice Address - Country:US
Practice Address - Phone:845-352-2020
Practice Address - Fax:845-352-2097
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT005216152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0547568OtherAETNA TIN 133769257 HMO PROVIDER #
NYC61201OtherMEDICARE TYPE ID UNSPECIFIED THRU 2008
NYOP1975OtherEYEMED PROVIDER #
NY1467693861OtherMEDICARE ADVANCED EYECARE OPTOMETRY, PLLC GROUP NPI
NYC61201OtherBLUE CROSS BLUE SHIELD TIN 133769257 PROVIDER #
NYC8T061OtherMEDICARE ID TYPE UNSPECIFIED 2009-ON
NY1598840662OtherMEDICARE GINA A DELLARCIPRETE INDIVIDUAL NPI
NY2535942OtherCIGNA TIN 364646171 PROVIDER NUMBER
NYP3084111OtherOXFORD PROVIDER #
NY133769257OtherCIGNA PROVIDER # THRU 2008
NY364646171OtherVSP PROVIDER # 2009-ON
NY9430OtherLOCAL 21 PLUMBERS AND STEAMFITTERS PROVIDER #
NY133769257OtherVSP PROVIDER # THRU 2008
NY5060223OtherAETNA TIN 133769257 NON HMO PROVIDER #
NY0563346OtherGHI PROVIDER NUMBER
NY133769257OtherFEDERAL TAX ID#
NY134157OtherBLOCK VISION TIN 364646171 PROVIDER NUMBER
NYC8T061OtherBLUE CROSS BLUE SHIELD TIN 364646171 PROVIDER #
NY6836786OtherAETNA TIN 364646171 PROVIDER NUMBER
NY906528OtherBLOCK VISION TIN 133769257 PROVIDER #
NY134157OtherBLOCK VISION TIN 364646171 PROVIDER NUMBER
NY1467693861OtherMEDICARE ADVANCED EYECARE OPTOMETRY, PLLC GROUP NPI
NYC8T061OtherMEDICARE ID TYPE UNSPECIFIED 2009-ON
NY0547568OtherAETNA TIN 133769257 HMO PROVIDER #
NYOP1975OtherEYEMED PROVIDER #
NY5060223OtherAETNA TIN 133769257 NON HMO PROVIDER #