Individual provider · Type 1 NPI

Deidre Ippolito

Specialist · Ridgewood, NY

NPI number 1326692096 Active · reactivated Nov 25, 2025

Practice location

1864 Putnam Ave Apt 1R
Ridgewood, NY 11385-4314

Call (718) 885-5547 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1326692096

Deidre Ippolito's National Provider Identifier is 1326692096, issued on Jul 30, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ridgewood, NY. The record was last updated on Nov 25, 2025.