Provider Demographics
NPI:1992559314
Name:DOLNY-LIPSY, TALIA R (LMSW)
Entity type:Individual
Prefix:
First Name:TALIA
Middle Name:R
Last Name:DOLNY-LIPSY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 LINDEN BLVD APT 3D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3696
Mailing Address - Country:US
Mailing Address - Phone:646-285-3372
Mailing Address - Fax:
Practice Address - Street 1:557 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-5727
Practice Address - Country:US
Practice Address - Phone:718-498-3717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program