Individual provider · Type 1 NPI

Daniel Thomas Ippolito, ANP

Adult Health Nurse Practitioner · Patchogue, NY

NPI number 1730604752 Active

Practice location

77 Medford Ave
Patchogue, NY 11772-1281

Fax (631) 750-1177

Mailing address

712 Main St
Islip, NY 11751-3620

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X308385 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1730604752

Daniel Thomas Ippolito, ANP's National Provider Identifier is 1730604752, issued on Aug 10, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Patchogue, NY. The record was last updated on Aug 10, 2017.