Theresa Cipolla, BA, MS
Specialist in Syosset, NY. Individual provider (NPI-1).
NPI number1609597939
StatusActive
Last updated in NPPESSep 6, 2022
Details
- NPI
- 1609597939
- Entity type
- Individual (NPI-1)
- Name
- Theresa Cipolla
- Credential
- BA, MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2022
- Certification date
- Sep 6, 2022
- Last updated
- Sep 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Other names
- Theresa Dowling (Former Name)
Practice location
47 Humphrey DrSyosset, NY 11791-4022
Phone 516-921-7171
Mailing address
47 Humphrey DrSyosset, NY 11791-4022
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