Daniel Thomas Ippolito, ANP | |
77 Medford Ave, Patchogue, NY 11772-1281 | |
(631) 666-3951 | |
(631) 750-1177 |
Full Name | Daniel Thomas Ippolito |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 77 Medford Ave, Patchogue, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730604752 | NPI | - | NPPES |
308385 | Other | NY | NYS OFFICE OF PROFESSIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 308385 (New York) | Primary |
Entity Name | North Shore Hematology Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Entity Name | Long Island Physician Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871906941 PECOS PAC ID: 9032436415 Enrollment ID: O20150324000458 |
Entity Name | North Suffolk Neurology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316335540 PECOS PAC ID: 8729305602 Enrollment ID: O20150403000090 |
Entity Name | New York Spine Medicine And Surgery Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346837226 PECOS PAC ID: 0941614341 Enrollment ID: O20210126002620 |
Mailing Address | Practice Location Address |
---|---|
Daniel Thomas Ippolito, ANP 712 Main St, Islip, NY 11751-3620 Ph: (631) 666-3951 | Daniel Thomas Ippolito, ANP 77 Medford Ave, Patchogue, NY 11772-1281 Ph: (631) 666-3951 |
Linda Belber, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Washington Ave, Patchogue, NY 11772 Phone: 631-269-5800 | |
Bernice Bouzy, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 E Main St, Patchogue, NY 11772 Phone: 631-866-2030 | |
Robert Jake Stone, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 N Ocean Ave, Patchogue, NY 11772 Phone: 631-913-8329 | |
Marie Christine Didonato, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W Roe Blvd, Patchogue, NY 11772 Phone: 516-728-4945 | |
Debra Tesoriero, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 E Woodside Ave, Patchogue, NY 11772 Phone: 631-758-6565 Fax: 631-758-6568 | |
Ms. Lisa Michelle Hodge-scelsa, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Route 112, Patchogue, NY 11772 Phone: 631-758-4444 Fax: 631-758-1984 | |
Mrs. Linda Joan Aumock, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 365 East Main St, Patchogue, NY 11772 Phone: 631-744-2813 |