Individual
JOSEPH LOUIS IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4711
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
750791
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432772
NY
Other
Enumeration date
06/20/2023
Last updated
08/30/2023
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