Basic Information
| Provider Information | |||||||||
| NPI: | 1841234788 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIPPE | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1728 SUNRISE HWY | ||||||||
| Address2: | |||||||||
| City: | MERRICK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115663745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5163028180 | ||||||||
| FaxNumber: | 5163028169 | ||||||||
| Practice Location | |||||||||
| Address1: | 36 LINCOLN AVE | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE CENTRE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115705768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165362800 | ||||||||
| FaxNumber: | 5169924722 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 08/31/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 163608 | NY | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.