Individual
HALEY ANN WIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 EILEEN WAY, SYOSSET, NY 11791
(516) 584-6400
(516) 584-6401
Mailing address
121 EILEEN WAY, SYOSSET, NY 11791
(516) 584-6400
(516) 584-6401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
028350
NY
Other
Enumeration date
05/20/2022
Last updated
10/01/2024
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