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Individual
WAYNE STANLEY LIPSCHITZ
Active
Individual
WAYNE STANLEY LIPSCHITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046207
NY
1223G0001X
General Practice Dentistry
46207
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01732750
—
NY
01
—
70078
BLUE SHIELD GROUP NUMBER
—
Enumeration date
08/25/2006
Last updated
07/03/2023
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