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Individual
DR. STEWART J LUSTIK
Active
Individual
DR. STEWART J LUSTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
179369
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040213601
UNIVERA #
NY
01
—
000912295001
BS WNY/HEALTHNOW
NY
05
—
00372225
—
NY
05
—
01459347
—
NY
01
—
050029509
RAILROAD MEDICARE
NY
01
—
2222
BLUE SHIELD GROUP
NY
01
—
4631743
AETNA
NY
01
—
G0189393590
BLUE CHOICE GROUP
NY
01
—
MDA552
PREFERRED CARE
NY
01
—
P010179369
BLUE CHOICE
NY
Enumeration date
07/18/2006
Last updated
07/03/2023
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