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NPI Code Detail

MEDICARE: RITA TSIPEN PA-C

MEDICARE:   RITA  TSIPEN  PA-C
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
1363A00000XPhysician Assistant020565NY

Other Identifiers

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

General Provider Information

NPI Number : 1740727858
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA TSIPEN PA-C
Provider Business Mailing Address
First Line : 2792 OCEAN AVE FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4731
Country : US
Telephone Number : 833-635-2566
Fax Number : 833-635-2566
Provider Business Practice Location Address
First Line : 2792 OCEAN AVE FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4731
Country : US
Telephone Number : 833-635-2566
Fax Number : 833-635-2566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2017
Last Update Date : 12/10/2025

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Directions to “ RITA TSIPEN PA-C” Practice Location

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