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Evan Gabriel Lustbader, MD
Diagnostic Radiology Physician in New York, New York
NPI 1093127508

Evan Gabriel Lustbader is a Diagnostic Radiology Physician based in New York, NY and is specialized in Diagnostic Radiology. Evan Gabriel Lustbader practices in New York, NY and has the professional credentials of MD. The NPI Number for Evan Gabriel Lustbader is 1093127508 and holds a License No. (New York).

The current practice location address for Evan Gabriel Lustbader is 525 E 68Th St, New York, NY and can be reached out via phone at 212-746-6000.

Location: 525 E 68Th St, New York, NY, 10065-4870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093127508
Provider Name
Evan Gabriel Lustbader
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
525 E 68Th St, New York, NY, 10065-4870
Phone Number
212-746-6000
Fax Number
Provider Enumeration Date
06/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
525 E 68Th St
City
New York
State
New York
Zip
10065-4870
Phone Number
212-746-6000
Fax Number
person
Provider Business Mailing Address Details
Address
525 E 68Th St
City
New York
State
New York
Zip
10065-4870
Phone Number
212-746-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
280716 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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