National Provider Identifier
Ayodele C Ippolito
Ayodele C Ippolito is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 279-4999.
Profile Overview
- NPI
- 1639897788
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 16, 2022
- Last Updated
- July 22, 2023
Practice Location
- 2613 W Henrietta RD Ste B
- Rochester, NY 14623-2327
Phone: (585) 279-4999
Mailing Address
- 300 Crittenden Blvd Box Psych
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- mlawler138983@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1639897788
- Entity Type
- Individual
- Last Name
- Ippolito
- First Name
- Ayodele
- Middle Name
- C
- Provider Other Last Name
- Ifafore
- Provider Other First Name
- Ayodele
- Provider Other Middle Name
- C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 300 Crittenden Blvd Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 276-8375
- Practice Street Address
- 2613 W Henrietta RD Ste B
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2327
- Practice Country
- US
- Practice Phone
- (585) 279-4999
- Practice Fax
- (585) 473-5152
- Enumeration Date
- August 16, 2022
- Last Updated
- July 22, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 29, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)