Individual
MR. THOMAS JAMES CIPOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
524 OLD COUNTRY RD, PLAINVIEW, NY 11803-6502
(516) 931-3988
Mailing address
5 MONTCLAIR STREET, PORT JEFFERSON STATION, NY 11776
(516) 379-4428
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010209
NY
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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