Individual
DR. MATTHEW R LIPPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1745 BROADWAY, 17 FL., NEW YORK, NY 10019-4640
(212) 851-8100
(212) 537-0102
Mailing address
109 CYPRESS STREET, FLORAL PARK, NY 11001
(212) 851-8100
(212) 932-0964
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11336
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01578656
—
NY
Enumeration date
08/07/2006
Last updated
06/12/2015
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