Individual
DR. CHARLES IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 ALEXANDER ST, SUITE 5000, ROCHESTER, NY 14607-4039
(585) 922-8003
(585) 922-8150
Mailing address
222 ALEXANDER ST, SUITE 5000, ROCHESTER, NY 14607-4039
(585) 922-8003
(585) 922-8150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01674111
—
NM
01
—
P00031855
RAIL ROAD MEDICARE
NY
Enumeration date
03/23/2006
Last updated
01/27/2010
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