Organization
MAMIE LIPARI, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAMIE LIPARI M.D. (PRESIDENT)
(718) 701-5941
Entity
Organization
Contact information
Practice address
20228 45TH AVE, BAYSIDE, NY 11361-2540
(718) 701-5941
(718) 423-7696
Mailing address
21445 29TH AVE, BAYSIDE, NY 11360-2648
(718) 701-5941
(718) 423-7696
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
190651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G1000000115
PTAN
NY
Enumeration date
01/07/2009
Last updated
08/14/2009
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