| Lloyd M. Lasser Dba Newburgh Dental Group | |
|
53 Route 17k Newburgh NY 12550-3922 | |
| (845) 565-2140 | |
| (845) 565-2229 |
| Full Name | Lloyd M. Lasser Dba Newburgh Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 53 Route 17k, Newburgh, New York |
| Authorized Official Name and Position | Lloyd Martin Lasser (SOLE PROPRIETOR) |
| Authorized Official Contact | 8455652140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lloyd M. Lasser Dba Newburgh Dental Group 53 Route 17k Newburgh NY 12550-3922 Ph: (845) 565-2140 | Lloyd M. Lasser Dba Newburgh Dental Group 53 Route 17k Newburgh NY 12550-3922 Ph: (845) 565-2140 |
| NPI Number | 1225289911 |
|---|---|
| Provider Enumeration Date | 10/01/2008 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225289911 | NPI | - | NPPES |
| 01804379 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 029823 (New York) | Primary |
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