Provider Demographics
NPI:1720079429
Name:LIPTON, BARBARA KAY (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:KAY
Last Name:LIPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 E 83RD ST
Mailing Address - Street 2:APT 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2420
Mailing Address - Country:US
Mailing Address - Phone:212-665-0200
Mailing Address - Fax:212-496-2463
Practice Address - Street 1:135 E 83RD ST
Practice Address - Street 2:APT 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2420
Practice Address - Country:US
Practice Address - Phone:212-665-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152850207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
B80162Medicare UPIN
NY97D711Medicare ID - Type Unspecified