Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath |
NPI | 1477693067 |
---|---|
Provider Name | Mr. Sergey Lipshitz |
First Address | Marlboro, NJ 07746-2504 |
Second Address | Brooklyn, NY 11205-2522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 24/04/2008 |