Individual
LYNNE G HALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
145 SULLYS TRL, PITTSFORD, NY 14534-4561
(585) 381-2190
(585) 381-2198
Mailing address
26 BRIDGEWOOD DR, FAIRPORT, NY 14450-2654
(585) 223-5214
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
036644-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01631341
—
NY
Enumeration date
08/20/2006
Last updated
05/09/2021
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