Lippa, Gina Marie

Lippa, Gina Marie is an individual health care provider with primary practice located at 300 West Ave , Brockport NY 14420-1118. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Lippa, Gina Marie can be contacted via phone (585) 637-3905.

Contact Information

Primary practice address
300 West Ave Brockport NY 14420-1118
Phone: (585) 637-3905
Fax: (585) 637-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 006495-1 New York

Profile Details

NPI number 1497787600
LBN Legal business name Lippa, Gina Marie
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 5th, 2007 - about 17 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 1497787600 NPPES
New York Other 1598707812 OAK ORCHARD BROCKPORT NPI
New York Other 179014CT OAK ORCHARD BROCKPORT NPI
New York Other 17209159 OAK ORCHARD BROCKPORT NPI

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