Individual
DR. ILANA DENISE LUSTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
233A E 31ST ST, NEW YORK, NY 10016-6302
(212) 696-9536
(212) 532-8020
Mailing address
233A E 31ST ST, NEW YORK, NY 10016-6302
(212) 696-9536
(212) 532-8020
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
146089
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP1230
OXFORD
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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