Individual
EVELYN GRUSS LIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E 70TH ST, 3RD FLOOR, NEW YORK, NY 10021-4872
(646) 434-8023
(212) 204-5516
Mailing address
25 SUTTON PL, NEW YORK, NY 10022-2423
(212) 486-0473
(212) 204-5516
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
114514
NY
261QM2500X
Medical Specialty Clinic/Center
Primary
114514
NY
Other
Enumeration date
02/20/2010
Last updated
01/23/2012
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