Healthcare Provider Details

I. General information

NPI: 1063417327
Provider Name (Legal Business Name): ANTHONY CIPOLLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1486 DEER PARK AVE UNIT A
NORTH BABYLON NY
11703-1214
US

IV. Provider business mailing address

1486 DEER PARK AVE UNIT A
NORTH BABYLON NY
11703-1214
US

V. Phone/Fax

Practice location:
  • Phone: 631-422-3200
  • Fax: 631-422-6597
Mailing address:
  • Phone: 631-422-3200
  • Fax: 631-422-6597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number175335
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: