Individual
LIDIA M WEGIELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 828-7601
Mailing address
PO BOX 2000, HUDSON, NY 12534-2000
(518) 828-8051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01471732
—
NY
Enumeration date
02/06/2008
Last updated
02/06/2008
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