Provider Demographics
NPI:1962567727
Name:LIPPIN, SAMUEL D (PT)
Entity type:Individual
Prefix:
First Name:SAMUEL
Middle Name:D
Last Name:LIPPIN
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:201 EAST 65TH STREET
Mailing Address - Street 2:YATIE RUDEN & ASSOCIATES LLP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-879-4700
Mailing Address - Fax:212-750-9654
Practice Address - Street 1:201 EAST 65TH STREET
Practice Address - Street 2:YATIE RUDEN & ASSOCIATES LLP
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-879-4700
Practice Address - Fax:212-750-9654
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0184821225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist