Individual
DR. ANTHONY CIPOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1486 DEER PARK AVE UNIT A, NORTH BABYLON, NY 11703-1214
(631) 422-3200
(631) 422-6597
Mailing address
1486 DEER PARK AVE UNIT A, NORTH BABYLON, NY 11703-1214
(631) 422-3200
(631) 422-6597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
175335
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010175331NY01
ANTHEM HEALTH ID#
NY
05
—
01572247
—
NY
01
—
0435421
CIGNA
NY
01
—
045244
AETNA/US HEALTHCARE
NY
01
—
08G261
BLUE CROSS BLUE SHIELD ID
NY
01
—
0976486000
AMERIHEALTH ID #
NY
01
—
110227279
RAILROAD MEDICARE
NY
01
—
1143305
UNITED HEALTHCARE
NY
01
—
175335
LICENSE #
NY
01
—
2505064
GHI
NY
01
—
3C3154
HEALTHNET
NY
01
—
41397
VYTRA
NY
01
—
4331591
AETNA ID
NY
01
—
CIM175335
NF/WC
NY
01
—
CP542
OXFORD
NY
01
—
P62369454
MULTIPLAN
NY
Enumeration date
06/14/2005
Last updated
03/09/2021
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