MEDICARE: MS. DONNA ROBIN LIPPMAN LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0770401	NY

General Provider Information

NPI Number	:	1598097081
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DONNA ROBIN LIPPMAN LMSW

Provider Business Mailing Address
First Line	:	234 EAST 149 STREET
Second Line	:	RM 1B2
City	:	BRONX
State	:	NY
Zip	:	10451
Country	:	US
Telephone Number	:	718-579-4687
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 E 149TH ST
Second Line	:	RM 1B2
City	:	BRONX
State	:	NY
Zip	:	10451-5504
Country	:	US
Telephone Number	:	718-579-4687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2010
Last Update Date	:	02/08/2010

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