Healthcare Provider Details

I. General information

NPI: 1336078617
Provider Name (Legal Business Name): ELIYAHU LIPSKER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 TOWER OFFICE PARK
WOBURN MA
01801-2113
US

IV. Provider business mailing address

325 COMMANDANTS WAY APT 117
CHELSEA MA
02150-4063
US

V. Phone/Fax

Practice location:
  • Phone: 339-345-2359
  • Fax:
Mailing address:
  • Phone: 781-910-3806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: