MEDICARE: DR. DEBORAH J LIPSON MD

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
1	207W00000X	Ophthalmology Physician	184781	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1902881816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH J LIPSON MD

Provider Business Mailing Address
First Line	:	77 PONDFIELD RD
Second Line	:
City	:	BRONXVILLE
State	:	NY
Zip	:	10708-3809
Country	:	US
Telephone Number	:	914-337-8844
Fax Number	:	914-779-5594

Provider Business Practice Location Address
First Line	:	700 WHITE PLAINS RD
Second Line	:	STE. 343
City	:	SCARSDALE
State	:	NY
Zip	:	10583-5063
Country	:	US
Telephone Number	:	914-725-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	03/02/2020

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