Individual provider · Type 1 NPI

Keith Lustman

Oral and Maxillofacial Surgery (Dentist) · New York, NY

NPI number 1225290885 Active

Practice location

525 E 68th St, F-2132
New York, NY 10065-4870

Call (212) 746-5190 Map

Mailing address

1320 York Ave, 21P
New York, NY 10021-4800

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X50-052-454 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1225290885

Keith Lustman's National Provider Identifier is 1225290885, issued on Jun 25, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New York, NY. The record was last updated on Jun 25, 2008.