Jessica Lynn Lastig in Great Neck - Body Imaging
Jessica Lynn Lastig - NPI 1902868292
Jessica Lynn Lastig is a Body Imaging in Great Neck, New York. Jessica Lynn Lastig practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Jessica Lynn Lastig is 1902868292. The last update date is 2008-07-02.
Jessica Lynn Lastig's current location address is 935 Northern Blvd, Great Neck, New York. You can contact this provider via phone number 5168294414 and fax number 5168295286. The mailing address for Jessica Lynn Lastig is 935 Northern Blvd, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lynn Lastig |
|---|---|
| Address | 935 Northern Blvd, Great Neck, New York |
| Phone Number | 5168294414 |
| Fax Number | 5168295286 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902868292 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 935 Northern Blvd |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110215309 |
| Phone Number | 5168294414 |
| Fax Number | 5168295286 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | 177033 |
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Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1344283 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jessica Lynn Lastig?
The Jessica Lynn Lastig has been issued the NPI (National Provider Identifier) 1902868292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jessica Lynn Lastig is geographically located?
The Jessica Lynn Lastig is physically situated at the following location: 935 Northern Blvd, Great Neck, NY, 110215309.
What is Jessica Lynn Lastig's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Lynn Lastig's area of specialization is Body Imaging, and the corresponding taxonomy code that categorizes this field of practice is 2085B0100X.
When did the Jessica Lynn Lastig receive its 1902868292?
The Jessica Lynn Lastig was issued its 1902868292 on 2006-04-04, which is the date when the organization was assigned this unique identifier.
As of what date were the Jessica Lynn Lastig's details last updated?
The information pertaining to the Jessica Lynn Lastig, including its address, specialty, and other details, was most recently updated on 2008-07-02.