Provider Demographics
NPI:1255454088
Name:LIPSKY, CATHY (NP)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:LIPSKY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2728 HENRY HUDSON PKWY
Mailing Address - Street 2:#67C
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-4703
Mailing Address - Country:US
Mailing Address - Phone:718-549-2351
Mailing Address - Fax:718-549-1999
Practice Address - Street 1:308 BATTLE AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-1503
Practice Address - Country:US
Practice Address - Phone:914-686-6126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3002341363LA2200X
NYF3400521363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology