Provider Demographics
NPI:1205815990
Name:SHRIMPTON, ANTONY EDWIN (PHD)
Entity type:Individual
Prefix:
First Name:ANTONY
Middle Name:EDWIN
Last Name:SHRIMPTON
Suffix:
Gender:M
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:321 MCLENNAN DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-1238
Mailing Address - Country:US
Mailing Address - Phone:315-632-4172
Mailing Address - Fax:315-464-6827
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:CLINICAL PATHOLOGY
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-6807
Practice Address - Fax:315-464-6827
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY93270207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics