Individual provider · Type 1 NPI

Emily Ippolito

Physician Assistant · Massapequa Park, NY

NPI number 1780294520 Active

Practice location

5100 Sunrise Hwy
Massapequa Park, NY 11762-2935

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X025011 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780294520

Emily Ippolito's National Provider Identifier is 1780294520, issued on Aug 6, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Massapequa Park, NY. The record was last updated on Oct 22, 2026.