| NPI | 1871702159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ROBERT LIPMAN Member 845-782-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 028107) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |