Individual
KIPLIN TONY GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(347) 798-9213
Mailing address
22665 129TH AVE, LAURELTON, NY 11413-1312
(718) 807-6802
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431563
NY
Other
Enumeration date
07/30/2019
Last updated
03/18/2024
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