| Lasting Impressions | |
|
399 Albany Shaker Rd Ste 201 Loudonville NY 12211-1970 | |
| (518) 438-1131 | |
| Not Available |
| Full Name | Lasting Impressions |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 399 Albany Shaker Rd Ste 201, Loudonville, New York |
| Authorized Official Name and Position | Mark J Polsinello (PRESIDENT) |
| Authorized Official Contact | 5184381131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Impressions 399 Albany Shaker Rd Ste 201 Loudonville NY 12211-1970 Ph: (518) 438-1131 | Lasting Impressions 399 Albany Shaker Rd Ste 201 Loudonville NY 12211-1970 Ph: (518) 438-1131 |
| NPI Number | 1225280613 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225280613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 030044 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 045465 (New York) | Primary |
Albany Shaker Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-438-1131 | |
Abdentistrypllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 1/2 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-458-1320 Fax: 518-458-9670 | |
Albany Advanced Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Albany Shaker Rd, Loudonville, NY 12211 Phone: 518-458-1620 Fax: 518-458-2190 |