Provider Demographics
NPI:1003258260
Name:ERSPAMER, SHELI LIPSON (AUD)
Entity type:Individual
Prefix:DR
First Name:SHELI
Middle Name:LIPSON
Last Name:ERSPAMER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SHELI
Other - Middle Name:
Other - Last Name:LIPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:660 WHITE PLAINS RD FL 4
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5187
Mailing Address - Country:US
Mailing Address - Phone:914-984-2552
Mailing Address - Fax:
Practice Address - Street 1:620 COLUMBUS AVE STE 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-1459
Practice Address - Country:US
Practice Address - Phone:212-600-9411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-29
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002463-1231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist