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DR. PAUL ALAN LUSMAN M.D.

Allergy and Immunology

Port Jefferson, New York

Provider NPI: 1962400176

Provider Information:
DR. PAUL ALAN LUSMAN M.D.


Practice Location:
120 N COUNTRY RD SUITE 1 PORT JEFFERSON, NY 11777 US
Tel: 631-928-4990  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
NY096648-1

Other Provider Identifiers:

IssuerNumberStateType
00393366NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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