Individual
REBECCA LIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3385 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 909-0983
Mailing address
3385 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 909-0983
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9061669501
EMBLEM HEALTH
NY
Enumeration date
05/16/2022
Last updated
05/16/2022
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