Provider Demographics
NPI:1063380020
Name:LIPSZYC, ELKA
Entity type:Individual
Prefix:
First Name:ELKA
Middle Name:
Last Name:LIPSZYC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 RELLA BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4256
Mailing Address - Country:US
Mailing Address - Phone:845-426-2199
Mailing Address - Fax:
Practice Address - Street 1:400 RELLA BLVD STE 308
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:NY
Practice Address - Zip Code:10901-4256
Practice Address - Country:US
Practice Address - Phone:845-426-2199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator