Individual
DR. MARNIE LUSTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
445 BROADHOLLOW RD, SUITE 25, MELVILLE, NY 11747-3669
(516) 474-1201
(516) 224-4346
Mailing address
39 WESTWOOD LN, WOODBURY, NY 11797-2600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
178757
NY
Other
Enumeration date
02/15/2009
Last updated
02/15/2009
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