Individual
SEAN C LIPINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1142 JOHNSONVILLE RD, JOHNSONVILLE, NY 12094-3423
(518) 321-2168
Mailing address
1142 JOHNSONVILLE RD, JOHNSONVILLE, NY 12094-3423
(518) 321-2168
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
673571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22506179
NCSBN ID
—
Enumeration date
05/03/2022
Last updated
05/03/2022
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