Provider Demographics
NPI:1043675085
Name:MICHAEL J LIPNICK DMD AND VINCENT GIGLIO DDS PLLC
Entity Type:Organization
Organization Name:MICHAEL J LIPNICK DMD AND VINCENT GIGLIO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIPNICK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:518-482-6936
Mailing Address - Street 1:822 NEW SCOTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1261
Mailing Address - Country:US
Mailing Address - Phone:518-482-6936
Mailing Address - Fax:518-482-6035
Practice Address - Street 1:822 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-1261
Practice Address - Country:US
Practice Address - Phone:518-482-6936
Practice Address - Fax:518-482-6035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0326181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty