person
Daniel Thomas Ippolito, ANP
Adult Health Nurse Practitioner in Patchogue, New York
NPI 1730604752

Daniel Thomas Ippolito is an Adult Health Nurse Practitioner based in Islip, NY and is specialized in Adult Health. Daniel Thomas Ippolito practices in Patchogue, NY and has the professional credentials of ANP. The NPI Number for Daniel Thomas Ippolito is 1730604752 and holds a License No. 308385 (New York).

The current practice location address for Daniel Thomas Ippolito is 77 Medford Ave, Patchogue, NY and can be reached out via phone at 631-666-3951 and via fax at 631-750-1177.

Location: 77 Medford Ave, Patchogue, NY, 11751-3620
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Provider Profile Details
NPI Number
1730604752
Provider Name
Daniel Thomas Ippolito
Credential
ANP
Provider Entity Type
Individual
Gender
Male
Address
77 Medford Ave, Patchogue, NY, 11751-3620
Phone Number
631-666-3951
Fax Number
631-750-1177
Provider Enumeration Date
08/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
308385 01 NY NYS OFFICE OF PROFESSIONS
institution
Provider Business Practice Location Address Details
Address
77 Medford Ave
City
State
Zip
11772-1281
Phone Number
631-666-3951
Fax Number
631-750-1177
person
Provider Business Mailing Address Details
Address
77 Medford Ave
City
State
Zip
11772-1281
Phone Number
631-666-3951
Fax Number
631-750-1177
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
308385 (New York)
Definition
Definition to come...
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