Doctor Name: | MR. PETER LIPINSKI |
NPI Number: | 1003167651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 35371 |
Business Practice Address: | 1065 Old Country Rd Suite 214 Westbury, NY - 115905640 |
Business Phone Number: | 5163347000 |
Business Fax Number: | |
Mailing Address: | 1986 Freeman Ave, EAST MEADOW |
State: | NY |
Postal Code: | 115543122 |
Phone Number: | 5169988970 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2012 |
NPI Last Update Date: | 09/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 35371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |