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1922561737
ADAM SCOTT LUSTIG
NEW YORK, NY
NPI
1922561737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
ADAM SCOTT LUSTIG DO
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-2500
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Mailing Address
ADAM SCOTT LUSTIG DO
2 SPARROW LN
WOODBURY, NY 11797-3207
Phone number: 516-375-2384
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