Ippolito, Loraine

Ippolito, Loraine is an individual health care provider with primary practice located at 3675 Southwestern Blvd , Orchard Park NY 14127-1732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ippolito, Loraine can be contacted via phone (716) 972-0279.

Contact Information

Primary practice address
3675 Southwestern Blvd Orchard Park NY 14127-1732
Fax: (716) 972-0271
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F3002671 New York

Profile Details

NPI number 1194782425
LBN Legal business name Ippolito, Loraine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Nov 5th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194782425 NPPES
New York Other 00021054903 UNIVERA
New York Other 040426002812 UNIVERA
New York Other 9513162 UNIVERA
New York MEDICAID 02794365 UNIVERA
New York Other 00021054902 UNIVERA
New York Other 180048BJ UNIVERA
New York Other 000560087008 UNIVERA
New York Other 000560087007 UNIVERA

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