Provider Demographics
NPI:1619483633
Name:JOSHUA LIPSMAN MD PLLC
Entity Type:Organization
Organization Name:JOSHUA LIPSMAN MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-664-1891
Mailing Address - Street 1:150 BROADWAY
Mailing Address - Street 2:1213
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4381
Mailing Address - Country:US
Mailing Address - Phone:646-664-1891
Mailing Address - Fax:
Practice Address - Street 1:150 BROADWAY
Practice Address - Street 2:1213
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4381
Practice Address - Country:US
Practice Address - Phone:646-664-1891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20575612083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty