Lipetz, Simon Shimon

Lipetz, Simon Shimon is an individual health care provider with primary practice located at 10460 Queens Blvd , Forest Hills NY 11375-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lipetz, Simon Shimon can be contacted via phone (718) 275-4849.

Contact Information

Primary practice address
10460 Queens Blvd Forest Hills NY 11375-7301
Fax: (718) 275-6381
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 186190 New York

Profile Details

NPI number 1710967393
LBN Legal business name Lipetz, Simon Shimon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710967393 NPPES
New York Other 2501904 GHI
New York Other QN0059001 GHI
New York Other 3C0053 GHI
New York Other DP443 GHI
New York Other 53K521 GHI

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