Provider Demographics
NPI:1386816940
Name:LIPNER & WEISFUSE DENTISTRY PC
Entity type:Organization
Organization Name:LIPNER & WEISFUSE DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:LIPNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-685-4730
Mailing Address - Street 1:12 E 41 ST
Mailing Address - Street 2:#1100
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-685-4730
Mailing Address - Fax:212-685-4931
Practice Address - Street 1:12 E 41 ST
Practice Address - Street 2:#1100
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-685-4730
Practice Address - Fax:212-685-4931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33462122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty