| Elio J Ippolito Md | |
|
200 S Broadway Suite A Tarrytown NY 10591-4500 | |
| (914) 332-1533 | |
| (914) 332-1556 |
| Full Name | Elio J Ippolito Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 200 S Broadway, Tarrytown, New York |
| Authorized Official Name and Position | Elio J Ippolito (OWNER) |
| Authorized Official Contact | 9143321533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elio J Ippolito Md 200 S Broadway Suite A Tarrytown NY 10591-4500 Ph: (914) 332-1533 | Elio J Ippolito Md 200 S Broadway Suite A Tarrytown NY 10591-4500 Ph: (914) 332-1533 |
| NPI Number | 1588930325 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588930325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 086623 (New York) | Primary |
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