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Individual

DR. ANTHONY IPPOLITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
382 W MAIN ST, BABYLON, NY 11702-3004
(631) 669-6221
(631) 669-6007
Mailing address
382 W MAIN ST, BABYLON, NY 11702-3004
(631) 669-6221
(631) 669-6007

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007683-2
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P3370876
TRIAD OXFORD
NY
Enumeration date
07/25/2006
Last updated
07/08/2007
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