DANIEL THOMAS IPPOLITO

PATCHOGUE, NY
NPI1730604752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  308385)
Enumeration Date2017-08-10
Last Update Date2017-08-10
Business Address
DANIEL THOMAS IPPOLITO ANP
77 MEDFORD AVE
PATCHOGUE, NY 11772-1281
Phone number: 631-666-3951
Mailing Address
DANIEL THOMAS IPPOLITO ANP
712 MAIN ST
ISLIP, NY 11751-3620
Phone number: 631-666-3951
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