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NPI Code Detail

MEDICARE: DR. MARVIN M LIPMAN M.D.

MEDICARE:  DR. MARVIN M LIPMAN  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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician77180NY

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 : 1790785178
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARVIN M LIPMAN M.D.
Provider Business Mailing Address
First Line : 259 HEATHCOTE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4523
Country : US
Telephone Number : 914-723-8100
Fax Number :
Provider Business Practice Location Address
First Line : 259 HEATHCOTE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4523
Country : US
Telephone Number : 914-723-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 08/31/2010

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Directions to “ DR. MARVIN M LIPMAN M.D.” Practice Location

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