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NPI Code Detail

MEDICARE: JULIE LIPYANKA OT

MEDICARE: JULIE LIPYANKA OT
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
1225X00000XOccupational Therapist022662-1NY

General Provider Information

NPI Number : 1598243925
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE LIPYANKA OT
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 3820 BOWNE ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-5638
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2018
Last Update Date : 07/28/2018

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