Individual
ROSS ELIOTT LIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 BELLE TERRE RD STE 209, PORT JEFFERSON, NY 11777
(631) 474-0707
(631) 474-4034
Mailing address
635 BELLE TERRE RD STE 209, PORT JEFFERSON, NY 11777-1935
(631) 474-0707
(631) 474-4034
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
202189
NY
204R00000X
Electrodiagnostic Medicine Physician
202189
NY
2084N0400X
Neurology Physician
202189
NY
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
202189
NY
208VP0014X
Interventional Pain Medicine Physician
202189
NY
Other
Enumeration date
03/28/2011
Last updated
06/06/2018
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