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NPI Code Detail

MEDICARE: DR. ROSALINDA ROSARIO-LIPKA D.O.

MEDICARE: DR. ROSALINDA ROSARIO-LIPKA D.O.
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
1207QA0505XAdult Medicine Physician222068NY

General Provider Information

NPI Number : 1699843151
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSALINDA ROSARIO-LIPKA D.O.
Provider Business Mailing Address
First Line : 235 PORT RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10302-1701
Country : US
Telephone Number : 718-924-2254
Fax Number : 718-442-0189
Provider Business Practice Location Address
First Line : 235 PORT RICHMOND AVENUE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10302-1701
Country : US
Telephone Number : 718-924-2254
Fax Number : 718-442-0189
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 02/06/2020

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