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Individual

JEFFREY LIPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8773
Mailing address
GPO BOX 27367, NEW YORK, NY 10087-7367

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
195035
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01629390
NY
Enumeration date
08/20/2006
Last updated
07/08/2007
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