Individual
MRS. MAMIE A LIPARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20228 45TH AVE, BAYSIDE, NY 11361-2540
(718) 701-5941
(718) 423-7696
Mailing address
20228 45TH AVE, BAYSIDE, NY 11361-2540
(718) 701-5941
(718) 423-7696
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
190651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01761242
—
NY
01
—
G400001039
PTAN
NY
Enumeration date
05/25/2006
Last updated
08/13/2009
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