Provider Demographics
NPI:1659787729
Name:IPPOLITO, CHRISTINA (DC, MS, LAC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:IPPOLITO
Suffix:
Gender:F
Credentials:DC, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 RIVINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002
Mailing Address - Country:US
Mailing Address - Phone:212-945-7300
Mailing Address - Fax:646-276-4468
Practice Address - Street 1:36 RIVINGTON STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-945-7300
Practice Address - Fax:646-276-4468
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 012360111N00000X
NJ38MC00720900111N00000X
NY25 005313171100000X
NJ25MZ00112500171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist