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NPI Code Detail

MEDICARE: MICHELLE LIPSTEIN

MEDICARE:   MICHELLE  LIPSTEIN
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
1235Z00000XSpeech-Language Pathologist014095-1NY

General Provider Information

NPI Number : 1356887079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LIPSTEIN
Provider Business Mailing Address
First Line : 400 PENNSYLVANIA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-4707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 PENNSYLVANIA AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11207-4707
Country : US
Telephone Number : 718-922-0389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2017
Last Update Date : 01/19/2017

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Directions to “ MICHELLE LIPSTEIN ” Practice Location

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