Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deidre Ippolito

Individual provider Specialist · NPI 1326692096

Deidre Ippolito is a Specialist in Ridgewood, New York. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1864 Putnam Ave Apt 1R
Ridgewood, NY 11385-4314
Phone: (718) 885-5547
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Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1326692096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2019
Last updated in NPPESNovember 25, 2025
Certification dateJuly 14, 2020
Mailing address1864 Putnam Ave Apt 1r, Ridgewood, NY 11385-4314

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