Individual
STEPHEN LASTIG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE HEALTHY WAY, ATTN: RADIOLOGY, OCEANSIDE, NY 11572
(516) 632-4656
Mailing address
P. O. BOX 5768, HICKSVILLE, NY 11802
(516) 632-4656
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
178279-1
NY
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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