Individual
DR. AMY LUSTBADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
155 E 55TH ST, SUITE 301, NEW YORK, NY 10022-4038
(212) 759-5595
Mailing address
155 E 55TH ST, SUITE 301, NEW YORK, NY 10022-4038
(212) 759-5595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053917-1
NY
Other
Enumeration date
12/08/2009
Last updated
07/28/2014
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