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Organization
DAVID LIPETZ PHYSICAL THERAPY, PLLC
Active
Organization
DAVID LIPETZ PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID IAN LIPETZ P.T. (OWNER / DIRECTOR)
(516) 248-4264
Entity
Organization
Contact information
Practice address
1399 FRANKLIN AVE, SUITE 101, GARDEN CITY, NY 11530-7400
(516) 248-4264
(516) 248-4265
Mailing address
1399 FRANKLIN AVE, SUITE 101, GARDEN CITY, NY 11530-7400
(516) 248-4264
(516) 248-4265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
026960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q24R91
BLUE CROSS BLUE SHIELD
NY
Enumeration date
09/12/2006
Last updated
05/04/2011
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