Organization
COSMETIC & LASER OBS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS LIPPNER (ADMINISTRATOR)
(516) 326-4160
Entity
Organization
Contact information
Practice address
165 ROSLYN RD, ROSLYN HEIGHTS, NY 11577-1315
(516) 625-6222
(516) 621-6282
Mailing address
165 ROSLYN RD, ROSLYN HEIGHTS, NY 11577-1315
(516) 625-6222
(516) 621-6282
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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