Individual
MR. PATRICK V. LIPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 MAIN ST, LE ROY, NY 14482-1443
(585) 768-9495
(585) 768-7376
Mailing address
42 MAIN ST., LEROY, NY 14482
(585) 768-9495
(585) 768-7376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000031396201
UNIVERA
NY
01
—
000419218001
BLUE CROSS & BLUE SHIELD OF WESTERN NEW YORK
NY
01
—
00820001272
UNITED HEALTHCARE
NY
05
—
02885894
—
NY
01
—
17351
MVP
NY
01
—
8291475
INDEPENDENT HEALTH
NY
01
—
9008369
AETNA
NY
01
—
P0170059DM
EXCELLUS BLUE SHIELD
NY
01
—
P1070059DS
EXCELLUS BLUE CHOICE
NY
01
—
TIN
POMCO
NY
Enumeration date
12/18/2007
Last updated
01/20/2015
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