DR. Boris Lustik, MD

NPI #1346275567 in Selden, New York

Provider Information

NPI Number: 1346275567
Entity Type: Individual
Name: DR. Boris Lustik, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 239 BOYLE ROAD
Address 2: STE 7
City: Selden
State: New York
ZIP Code: 11784
Phone: (631) 698-0600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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