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Contact Information

DAWN B IPPOLITO, OTR/L
6 RAYMOND AVE
MIDDLE ISLAND, NY11953-1427
 Phone: 631-294-6316
 Fax: 631-775-0233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DAWN B IPPOLITO · (Female)

NPI Number 1912281569
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 09/30/2011
Last updated 09/30/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 63014871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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