Provider Demographics
NPI:1477693067
Name:LIPSHITZ, SERGEY (MS, LAC, DIPL AC)
Entity Type:Individual
Prefix:MR
First Name:SERGEY
Middle Name:
Last Name:LIPSHITZ
Suffix:
Gender:M
Credentials:MS, LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 KINGFISHER CT
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-2504
Mailing Address - Country:US
Mailing Address - Phone:732-688-2988
Mailing Address - Fax:732-677-3636
Practice Address - Street 1:478 MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2522
Practice Address - Country:US
Practice Address - Phone:718-789-3700
Practice Address - Fax:718-789-3900
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001500171100000X
PAAK000771171100000X
175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No175L00000XOther Service ProvidersHomeopath