Organization
SIMON LIPETZ MD. P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON LIPETZ (OWNER)
(718) 275-4849
Entity
Organization
Contact information
Practice address
104-60 QUEENS BLVD, SUITE CH, FOREST HILLS, NY 11375
(718) 275-4849
(718) 275-6381
Mailing address
104-60 QUEENS BLVD., SUITE CH, FOREST HILLS, NY 11375
(718) 275-4849
(718) 275-6381
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
107463
NY
173000000X
Legal Medicine
Primary
186190
NY
173000000X
Legal Medicine
458751
NY
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/12/2007
Last updated
07/15/2014
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