Provider Demographics
NPI:1902198526
Name:LIPINSKI, MONIKA (MS SPED)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:
Last Name:LIPINSKI
Suffix:
Gender:F
Credentials:MS SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 PARKSIDE CT
Mailing Address - Street 2:
Mailing Address - City:COPIAGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11726-4618
Mailing Address - Country:US
Mailing Address - Phone:631-226-2608
Mailing Address - Fax:631-226-2608
Practice Address - Street 1:409 PARKSIDE CT
Practice Address - Street 2:
Practice Address - City:COPIAGUE
Practice Address - State:NY
Practice Address - Zip Code:11726-4618
Practice Address - Country:US
Practice Address - Phone:631-226-2608
Practice Address - Fax:631-226-2608
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-15
Last Update Date:2011-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency