Provider Demographics
NPI:1306932603
Name:LIPINSKY, EDWARD J (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:LIPINSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:560 WHITE PLAINS RD - ENTA
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5112
Mailing Address - Country:US
Mailing Address - Phone:914-984-2534
Mailing Address - Fax:914-425-0480
Practice Address - Street 1:2929 EXPRESSWAY DR N
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-5306
Practice Address - Country:US
Practice Address - Phone:631-665-2430
Practice Address - Fax:631-665-2342
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2018-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY126333207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY288971Medicare PIN
NYB12270Medicare UPIN