Lustig, Penny
Lustig, Penny is an individual health care provider with primary practice located at 52 Main St , Bedford Hills NY 10507-1814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Lustig, Penny can be contacted via phone (914) 666-2220.Contact Information
Primary practice address
52 Main St
Bedford Hills NY 10507-1814
Phone: (914) 666-2220
Fax: (914) 666-2987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 156163 | New York |
Profile Details
| NPI number | 1710960133 |
|---|---|
| LBN Legal business name | Lustig, Penny |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710960133 | NPPES |
| New York | MEDICAID | 01044128 |
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