MEDICARE: NANCY B LIPSITZ M.D.

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	207L00000X	Anesthesiology Physician	184900	NY

General Provider Information

NPI Number	:	1275560070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY B LIPSITZ M.D.

Provider Business Mailing Address
First Line	:	744 W MICHIGAN AVE
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1909
Country	:	US
Telephone Number	:	517-787-6440
Fax Number	:	517-787-4146

Provider Business Practice Location Address
First Line	:	1111 AMSTERDAM AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-1716
Country	:	US
Telephone Number	:	517-787-6440
Fax Number	:

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	03/05/2026

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