Organization
JOHN A IPPOLITO, D.O.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A IPPOLITO D.O. (PRESIDENT)
(631) 689-5000
Entity
Organization
Contact information
Practice address
100 S JERSEY AVE, UNIT 19, SETAUKET, NY 11733-2034
(631) 689-5000
(631) 689-1009
Mailing address
100 S JERSEY AVE, UNIT 19, SETAUKET, NY 11733-2034
(631) 689-5000
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
167286
NY
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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