Organization
SIMPLIFED MEDICAL, P.C.
Active
Other names
AM Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA IPPOLITO (CEO)
(339) 234-0164
Entity
Organization
Contact information
Practice address
314 E STATE ST, ITHACA, NY 14850-4318
(888) 458-1364
Mailing address
314 E STATE ST, ITHACA, NY 14850-4318
(888) 458-1364
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/03/2023
Last updated
04/20/2026
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