Organization
SIMPLIFED IPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA IPPOLITO (CEO)
(339) 234-0164
Entity
Organization
Contact information
Practice address
314 E STATE ST, ITHACA, NY 14850-4318
(844) 799-0538
(631) 201-7097
Mailing address
314 E STATE ST, ITHACA, NY 14850-4318
(844) 799-0538
(631) 201-7097
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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