# A CIPOLLA MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760766174
- **Authorized official:** DR. ANTHONY CIPOLLA M.D. (PRESIDENT)
- **Authorized official phone:** (631) 422-3200

## Contact information

- **Practice address:** 1350 DEER PARK AVE, SUITE 104, NORTH BABYLON, NY 11703-1619
- **Practice address phone:** (631) 422-3200
- **Practice address fax:** (631) 422-6597
- **Mailing address:** 1350 DEER PARK AVE, NORTH BABYLON, NY 11703-1619
- **Mailing address phone:** (631) 422-3200
- **Mailing address fax:** (631) 422-6597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NY | Yes |

## Other

- **Enumeration date:** 10/04/2011
- **Last updated:** 10/07/2011