Individual
AYODELE C IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2613 W HENRIETTA RD STE B, ROCHESTER, NY 14623-2327
(585) 279-4999
(585) 473-5152
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 276-8375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029370
NY
363AM0700X
Medical Physician Assistant
29370
NY
Other
Enumeration date
08/16/2022
Last updated
07/22/2023
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