Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 051582 | NY |
NPI | 1023279304 |
---|---|
Provider Name | Dr. Steven A Lipner |
First Address | Brooklyn, NY 11234-6930 |
Second Address | New York, NY 10019-2303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 19/06/2008 |