1679057129 NPI number — DR. STEVEN LIPARI MD

Table of content: DR. STEVEN LIPARI MD (NPI 1679057129)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679057129 NPI number — DR. STEVEN LIPARI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIPARI
Provider First Name:
STEVEN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679057129
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2900 BATHURST STREET
Provider Second Line Business Mailing Address:
SUITE 809
Provider Business Mailing Address City Name:
TORONTO
Provider Business Mailing Address State Name:
ON
Provider Business Mailing Address Postal Code:
M6B 3A9
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1333 SHEPPARD AVENUE EAST
Provider Second Line Business Practice Location Address:
SUITE 144
Provider Business Practice Location Address City Name:
TORONTO
Provider Business Practice Location Address State Name:
ON
Provider Business Practice Location Address Postal Code:
M2J 1V1
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
416-491-5900
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  294875 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)