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Individual

BRIAN LIPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
5008 BRITTONFIELD PKWY, SUITE 700, EAST SYRACUSE, NY 13057-9248
(315) 472-7504
(315) 479-8639
Mailing address
5008 BRITTONFIELD PKWY, SUITE 700, EAST SYRACUSE, NY 13057-9248
(315) 472-7504
(315) 479-8639

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304383
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02824275
NY
Enumeration date
07/04/2006
Last updated
10/27/2009
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