National Provider Identifier
Charles Ippolito, M.D.
Charles Ippolito, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 922-8003.
Profile Overview
- NPI
- 1104886381
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 23, 2006
- Last Updated
- January 27, 2010
Practice Location
- 222 Alexander St
- Suite 5000
- Rochester, NY 14607-4039
Phone: (585) 922-8003
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1104886381
- Entity Type
- Individual
- Last Name
- Ippolito
- First Name
- Charles
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 222 Alexander St
- Mailing Address Line 2
- Suite 5000
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-4039
- Mailing Country
- US
- Mailing Phone
- (585) 922-8003
- Mailing Fax
- (585) 922-8150
- Practice Street Address
- 222 Alexander St
- Practice Address Line 2
- Suite 5000
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4039
- Practice Country
- US
- Practice Phone
- (585) 922-8003
- Practice Fax
- (585) 922-8150
- Enumeration Date
- March 23, 2006
- Last Updated
- January 27, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01674111 (NM), P00031855 (NY, Rail Road Medicare)