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Jessica Lynn Lastig, MD
Diagnostic Radiology Physician in Great Neck, New York
NPI 1902868292

Jessica Lynn Lastig is a Diagnostic Radiology Physician based in Great Neck, NY and is specialized in Diagnostic Radiology. Jessica Lynn Lastig practices in Great Neck, NY and has the professional credentials of MD. The NPI Number for Jessica Lynn Lastig is 1902868292 and holds a License No. 177033 (New York).

The current practice location address for Jessica Lynn Lastig is 935 Northern Blvd, Great Neck, NY and can be reached out via phone at 516-829-4414 and via fax at 516-829-5286.

Location: 935 Northern Blvd, Great Neck, NY, 11021-5309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902868292
Provider Name
Jessica Lynn Lastig
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
935 Northern Blvd, Great Neck, NY, 11021-5309
Phone Number
516-829-4414
Fax Number
516-829-5286
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01344283 05 NY
institution
Provider Business Practice Location Address Details
Address
935 Northern Blvd
City
Great Neck
State
New York
Zip
11021-5309
Phone Number
516-829-4414
Fax Number
516-829-5286
person
Provider Business Mailing Address Details
Address
935 Northern Blvd
City
Great Neck
State
New York
Zip
11021-5309
Phone Number
516-829-4414
Fax Number
516-829-5286
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
177033 (New York)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
177033 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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