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Organization

ANTHONY CIPOLLA PHYSICIAN, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY CIPOLLA MD (OWNER)
(631) 422-3200
Entity
Organization

Contact information

Practice address
1 JOHN ST, SUITE #103, BABYLON, NY 11702-2939
(631) 422-3200
(631) 422-6597
Mailing address
1 JOHN ST, #103, BABYLON, NY 11702-2939
(631) 422-3200
(631) 422-6597

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5243093
NY

Other

Enumeration date
05/23/2007
Last updated
10/04/2007
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