Lustig, Todd

Lustig, Todd is an individual health care provider with primary practice located at 360 Montauk Hwy , West Islip NY 11795-4403. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lustig, Todd can be contacted via phone (631) 422-1110.

Contact Information

Primary practice address
360 Montauk Hwy West Islip NY 11795-4403
Phone: (631) 422-1110
Fax: (631) 422-1916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV0056671 New York

Profile Details

NPI number 1659342954
LBN Legal business name Lustig, Todd
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 3rd, 2015 - about 10 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 1659342954 NPPES
New York MEDICAID 01953011

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