Provider Demographics
NPI:1578847430
Name:LIPPMAN-HOSKINS, BONITA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:BONITA
Middle Name:
Last Name:LIPPMAN-HOSKINS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E. 60TH ST., STE. 1C
Mailing Address - Street 2:BETW PARK & LEX
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-593-1499
Mailing Address - Fax:
Practice Address - Street 1:121 E. 60TH ST., STE. 1C
Practice Address - Street 2:BETW PARK & LEX
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-593-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044014-11223X0400X
CA414591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics