Healthcare Provider Details

I. General information

NPI: 1730260662
Provider Name (Legal Business Name): DR. MIRIAM LAMPERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 TOM MILLER RD
PLATTSBURGH NY
12901-6430
US

IV. Provider business mailing address

326 TOM MILLER RD
PLATTSBURGH NY
12901-6430
US

V. Phone/Fax

Practice location:
  • Phone: 518-563-7097
  • Fax:
Mailing address:
  • Phone: 518-563-7097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number053784
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: