Healthcare Provider Details

I. General information

NPI: 1902017882
Provider Name (Legal Business Name): NATALIE LOPASIC, M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 TROY SCHENECTADY RD STE 3
LATHAM NY
12110-2446
US

IV. Provider business mailing address

767 TROY SCHENECTADY RD STE 3
LATHAM NY
12110-2446
US

V. Phone/Fax

Practice location:
  • Phone: 518-805-1108
  • Fax: 518-218-4462
Mailing address:
  • Phone: 518-805-1108
  • Fax: 518-218-4462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. NATALIE W LOPASIC
Title or Position: OWNER/OPERATOR
Credential: M.D.
Phone: 518-690-7020