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Organization
PAUL A. LUSMAN, M.D.P.C.
Active
Organization
PAUL A. LUSMAN, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALAN LUSMAN (PRESIDENT)
(631) 928-4990
Entity
Organization
Contact information
Practice address
120 N COUNTRY RD, PORT JEFFERSON, NY 11777-2604
(631) 928-4990
(631) 928-4992
Mailing address
120 N COUNTRY RD, PORT JEFFERSON, NY 11777-2604
(631) 928-4990
(631) 928-4992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
096648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00393366
—
NY
Enumeration date
06/20/2005
Last updated
08/22/2020
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