Individual
LORAINE IPPOLITO
Active
Individual
LORAINE IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3002671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021054902
UNIVERA
NY
01
—
00021054903
UNIVERA
NY
01
—
000560087007
BC/BS
NY
01
—
000560087008
BCBS
NY
05
—
02794365
—
NY
01
—
040426002812
FIDELIS CARE #
NY
01
—
180048BJ
PREFERRED CARE
NY
01
—
9513162
IHA #
NY
Enumeration date
04/28/2006
Last updated
11/05/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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