Individual
ALENA LUSTBADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 W END AVE, 18FG, NEW YORK, NY 10025-7461
(609) 203-4681
Mailing address
666 W END AVE, 18FG, NEW YORK, NY 10025-7461
(609) 203-4681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014204
NY
Other
Enumeration date
09/01/2010
Last updated
02/25/2016
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