Organization
LI MEDICAL OF NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON LIPETZ MD (MEDICAL DIRECTOR)
(718) 275-5551
Entity
Organization
Contact information
Practice address
7020 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3500
(718) 275-5551
Mailing address
7020 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-3500
(718) 275-5551
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
186190
NY
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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