Individual
DR. MARC JAY LUSTIG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 WEST 72ND ST, NEW YORK, NY 10023
(212) 981-9800
(212) 981-9818
Mailing address
40 WEST 72ND ST, NEW YORK, NY 10023
(212) 981-9800
(212) 981-9818
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
222088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02577411
—
NY
Enumeration date
05/08/2006
Last updated
02/04/2021
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