Individual
ALISSA MARIE DIPPOLITO-TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5700 W GENESEE ST STE 109N, CAMILLUS, NY 13031-3203
(315) 487-1573
(315) 487-2418
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3276
(315) 937-3676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3410823
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04940061
—
NY
Enumeration date
10/13/2017
Last updated
03/21/2023
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