Individual
JOSEPH RICHARD IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 MAIN ST, MINEOLA, NY 11501-4014
(516) 747-5644
Mailing address
523 HEMPSTEAD AVENUE, ROCKVILLE CENTRE, NY 11570-1752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A166931
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
A166931
NY
Other
Enumeration date
12/06/2006
Last updated
09/11/2025
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