MEDICARE: DR. FRANKLIN HOWARD LIPSKY D.D.S.

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	1223G0001X	General Practice Dentistry	031790	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336138700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANKLIN HOWARD LIPSKY D.D.S.

Provider Business Mailing Address
First Line	:	806 OAKLEIGH RD
Second Line	:
City	:	NORTH WOODMERE
State	:	NY
Zip	:	11581-2828
Country	:	US
Telephone Number	:	516-791-8064
Fax Number	:

Provider Business Practice Location Address
First Line	:	9804 159TH AVE
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3542
Country	:	US
Telephone Number	:	718-835-5100
Fax Number	:	718-835-5101

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/09/2007

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