| Steven L. Lysenko, Dmd Pllc | |
|
17 Maple Road Voorheesville NY 12186 | |
| (518) 765-4616 | |
| (518) 765-9348 |
| Full Name | Steven L. Lysenko, Dmd Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17 Maple Road, Voorheesville, New York |
| Authorized Official Name and Position | Steven L. Lysenko (OWNER) |
| Authorized Official Contact | 5787654616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven L. Lysenko, Dmd Pllc Po Box 366 17 Maple Road Voorheesville NY 12186 Ph: (518) 765-4616 | Steven L. Lysenko, Dmd Pllc 17 Maple Road Voorheesville NY 12186 Ph: (518) 765-4616 |
| NPI Number | 1689908378 |
|---|---|
| Provider Enumeration Date | 09/28/2009 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689908378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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