Individual
DR. JOHN A IPPOLITO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 S JERSEY AVE, UNIT 19, SETAUKET, NY 11733-2034
(631) 689-5000
Mailing address
100 S JERSEY AVE, SETAUKET, NY 11733-2034
(631) 689-5000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
167286
NY
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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