Provider Demographics
NPI:1336138700
Name:LIPSKY, FRANKLIN HOWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:HOWARD
Last Name:LIPSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 OAKLEIGH RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2828
Mailing Address - Country:US
Mailing Address - Phone:516-791-8064
Mailing Address - Fax:
Practice Address - Street 1:9804 159TH AVE
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3542
Practice Address - Country:US
Practice Address - Phone:718-835-5100
Practice Address - Fax:718-835-5101
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0317901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00293494Medicaid