ELIO J IPPOLITO MD NPI 1588930325

NPI Information

ELIO J IPPOLITO MD is a primary care clinic center in Tarrytown, NY. ELIO J IPPOLITO MD NPI is 1588930325. The provider is registered as an organization entity type.

The provider's business location address is:

200 S BROADWAY
SUITE A
TARRYTOWN, NY
ZIP 10591-500
Phone: (914) 332-1533
Fax: (914) 332-1556

The provider's authorized official is Elio J Ippolito .
The authorized official title is Owner and has the following contact phone number (914) 332-1533.

The enumeration date for this NPI number is 3/27/2012 and was last updated on 3/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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