MEDICARE: CINDY LIPCIC

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	163W00000X	Registered Nurse	545345	NY

General Provider Information

NPI Number	:	1144670621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY LIPCIC

Provider Business Mailing Address
First Line	:	24542 62ND AVE
Second Line	:
City	:	LITTLE NECK
State	:	NY
Zip	:	11362-2052
Country	:	US
Telephone Number	:	347-752-1752
Fax Number	:

Provider Business Practice Location Address
First Line	:	24542 62ND AVE
Second Line	:
City	:	LITTLE NECK
State	:	NY
Zip	:	11362-2052
Country	:	US
Telephone Number	:	347-752-1752
Fax Number	:

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

Provider Enumeration Date	:	06/15/2016
Last Update Date	:	06/15/2016

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Directions to “ CINDY LIPCIC ” Practice Location

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