Individual
DR. JERRY IPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4271 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5708
(516) 796-3700
Mailing address
4271 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5708
(516) 796-3700
(516) 796-3205
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
246909
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
246909
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03354923
—
NY
Enumeration date
09/26/2007
Last updated
12/01/2021
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