Provider Demographics
NPI:1982602942
Name:LIPMAN, FRANK O (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:O
Last Name:LIPMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5817
Mailing Address - Country:US
Mailing Address - Phone:212-255-1800
Mailing Address - Fax:212-255-0714
Practice Address - Street 1:32 W 22ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5817
Practice Address - Country:US
Practice Address - Phone:212-255-1800
Practice Address - Fax:212-255-0714
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000427171100000X
NYA1711711207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
A62249Medicare UPIN
NY133E182Medicare ID - Type Unspecified