Individual
JANINE MARIE IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234-4231
(800) 272-3243
(718) 854-8308
Mailing address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234-4231
(800) 272-3243
(718) 854-8308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019631
NY
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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