NPI Provider: 1871598318
Contact Name: Lusman Alan Paul
Position: President
Phone: (631) 928-4990
Paul A. Lusman, M.d.p.c. Information:
Paul A. Lusman, M.d.p.c. organization have npi 1871598318, taxonomy code is 174400000X with license number is 96648 in . This Business address located in 120 N Country Rd, Port Jefferson, NY 11777 New York.
Practice Location
Address: 120 N Country Rd, Port Jefferson, NY 11777
Phone: (631) 928-4990
Business Location
Address: 120 N Country Rd, Port Jefferson, NY 11777
Phone: (631) 928-4990
Fax: (631) 928-4992
Taxonomy
Taxonomy Code: 174400000X
License Number: 96648
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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