Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 262372 | NY |
NPI | 1003135716 |
---|---|
Provider Name | Dr. Stephen John Cipot IV |
First Address | Manhasset, NY 11030-3834 |
Second Address | Manhasset, NY 11030-3816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2010 |
Last Update Date | 20/12/2021 |