Lusman, Paul Alan

Lusman, Paul Alan is an sole proprietor health care provider with primary practice located at 120 N Country Rd Suite 1, Port Jefferson NY 11777-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Lusman, Paul Alan can be contacted via phone (631) 928-4990.

Contact Information

Primary practice address
120 N Country Rd Suite 1 Port Jefferson NY 11777-2604
Phone: (631) 928-4990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 096648-1 New York

Profile Details

NPI number 1962400176
LBN Legal business name Lusman, Paul Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962400176 NPPES
New York MEDICAID 00393366

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