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Individual
SCOTT IPPOLITO
Active
Individual
SCOTT IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
179201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000059757
GHI HMO
NY
05
—
01729560
—
NY
01
—
050710000017
FIDELIS
NY
01
—
0D4541
BCBS
NY
01
—
1000024409
AFFINITY
NY
01
—
113565450
GREAT WEST
NY
01
—
179201
HIP
NY
01
—
2984981
AETNA HMO
NY
01
—
2C9258
HEALTHNET
NM
01
—
4278367
AETNA PPO
NY
01
—
5998030
GHI PPO
NY
01
—
AA71641
MDNY
NY
01
—
BEECH STREET
113565450
NY
01
—
CIGNA
5874507
NY
01
—
MULTIPLAN
113565450
NM
01
—
P2214590
OXFORD
NY
Enumeration date
09/15/2005
Last updated
04/27/2010
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