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NPI Code Detail

MEDICARE: CHAD LIPOVSKY PT, DPT

MEDICARE:   CHAD  LIPOVSKY  PT, DPT
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
1225100000XPhysical Therapist037884NY

General Provider Information

NPI Number : 1811397912
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD LIPOVSKY PT, DPT
Provider Business Mailing Address
First Line : 2522 ELTON RD
Second Line :
City : BLOOMFIELD
State : NY
Zip : 14469-9515
Country : US
Telephone Number : 585-727-0512
Fax Number :
Provider Business Practice Location Address
First Line : 2522 ELTON RD
Second Line :
City : BLOOMFIELD
State : NY
Zip : 14469-9515
Country : US
Telephone Number : 585-727-0512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/26/2014

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Directions to “ CHAD LIPOVSKY PT, DPT” Practice Location

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