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Individual

MR. ROBERT PAUL CIPOLLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
48 CORDELIA AVE, STATEN ISLAND, NY 10309-3434
(917) 494-0048
Mailing address
48 CORDELIA AVE, STATEN ISLAND, NY 10309-3434
(917) 494-0048

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
1161539
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000000000
PRIMARY CARE
Enumeration date
02/12/2019
Last updated
02/12/2019
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