# MAMIE LIPARI, M.D. P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780821132
- **Authorized official:** DR. MAMIE LIPARI M.D. (PRESIDENT)
- **Authorized official phone:** (718) 701-5941

## Contact information

- **Practice address:** 20228 45TH AVE, BAYSIDE, NY 11361-2540
- **Practice address phone:** (718) 701-5941
- **Practice address fax:** (718) 423-7696
- **Mailing address:** 21445 29TH AVE, BAYSIDE, NY 11360-2648
- **Mailing address phone:** (718) 701-5941
- **Mailing address fax:** (718) 423-7696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 190651 | NY | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 08/14/2009