Individual
DR. JAY I LIPPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
828 PELHAMDALE AVE, NEW ROCHELLE, NY 10801-1005
(914) 636-3600
(914) 636-2118
Mailing address
828 PELHAMDALE AVE, NEW ROCHELLE, NY 10801-1024
(914) 636-3600
(914) 636-2118
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
94565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00155660
—
NY
01
—
094565A40
HEALTHFIRST
NY
01
—
4239025
AETNA
NY
01
—
GS312
OXFORD
NY
01
—
JL05733810
BCBS
—
Enumeration date
07/22/2005
Last updated
08/13/2010
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