Individual
MS. COLETTE C LIPEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
119-20 UNION TURNPIKE, KEW GARDENS, NY 11415
(212) 203-1408
Mailing address
119-20 UNION TURNPIKE, KEW GARDENS, NY 11415
(212) 203-1408
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402914
NY
Other
Enumeration date
08/18/2021
Last updated
09/21/2023
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