Lastig, Jessica Lynn
Lastig, Jessica Lynn is an individual health care provider with primary practice located at 935 Northern Blvd Suite 200, Great Neck NY 11021-5309. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Lastig, Jessica Lynn can be contacted via phone (516) 829-4414.Contact Information
Primary practice address
935 Northern Blvd Suite 200
Great Neck NY 11021-5309
Phone: (516) 829-4414
Fax: (516) 829-5286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 177033 | New York |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 177033 | New York |
Profile Details
| NPI number | 1902868292 |
|---|---|
| LBN Legal business name | Lastig, Jessica Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jul 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902868292 | NPPES |
| New York | MEDICAID | 01344283 |
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