| NPI | 1043675085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J LIPNICK Owner/President 518-482-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 032618) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |