DR. MARNIE LUSTIG (NPI# 1427297456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427297456 |
| Entity Type | Individual |
| Full Name | DR. MARNIE LUSTIG |
| Credential | M.D. |
| Practice Address |
445 Broadhollow Rd Suite 25 Melville NY 11747-3669 |
| Mailing Address |
39 Westwood Ln Woodbury NY 11797-2600 |
| Practice Telephone | 5164741201 |
| Practice Fax Number | 5162244346 |
| Enumeration Date | 2009-02-15 |
| Last Update Date | 2009-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
178757 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
445 BROADHOLLOW RD SUITE 25 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124132832 | Gail I Mandra Stallone | Social Worker | 445 Broadhollow Rd, Suite 228, Melville, NY 11747-3669 | 2006-08-18 |
| 1336516350 | Wellcare Health Management, Inc. | In Home Supportive Care | 445 Broadhollow Rd, Suite 25, Melville, NY 11747-3669 | 2015-08-25 |
| 1316295413 | Lilya Popovetsky | Contractor | 445 Broadhollow Rd, Suite 25, Melville, NY 11747-3669 | 2012-08-21 |
| 1326342106 | Heather Jonas | Psychologist | 445 Broadhollow Rd, Suite 25, Melville, NY 11747-3669 | 2011-01-07 |
| 1871747477 | A Multilingual Development Agency, Inc. | Early Intervention Provider Agency | 445 Broadhollow Rd, Suite 25, Melville, NY 11747-3669 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114159423 | Danielle Martin | Psychiatry & Neurology | 92 Ponderosa Ln, Melville, NY 11747-2017 | 2009-08-20 |
| 1952450140 | Jeffrey Lee Hammerman | Psychiatry & Neurology | 40 Cottontail Road, Melville, NY 11747-2319 | 2007-01-09 |
| 1659452407 | Prabhakar Balkrishna Kale | Psychiatry & Neurology | 4 Pembury Ct, Melville, NY 11747-3303 | 2006-10-18 |
| 1295756005 | Michael Schwartz | Psychiatry & Neurology | 150 Broadhollow Rd, Suite 204, Melville, NY 11747-4905 | 2006-07-21 |
| 1073556882 | Mitchell F. Banks | Psychiatry & Neurology | 555 Broadhollow Road Suite 107, Melville, NY 11747 | 2006-06-13 |
| 1821056334 | Dinesh K Sood | Psychiatry & Neurology | 555 Broadhollow Rd, Suite #107, Melville, NY 11747-5078 | 2006-05-03 |
| 1568421154 | Susan George | Psychiatry & Neurology | 900 Walt Whitman Rd, Suite 202, Melville, NY 11747 | 2006-03-21 |
| 1629480538 | Dr Linda Low, Psychiatry, PC | Psychiatry & Neurology | 900 Walt Whitman Rd, Suite Ll1, Melville, NY 11747-2293 | 2014-05-27 |
| 1124312566 | Suffolk Behavioral Medicine P.c | Psychiatry & Neurology | 535 Broadhollow Rd, Melville, NY 11747-3713 | 2011-06-02 |
| 1205081536 | Michael Schwartz, M.d., P.C. | Psychiatry & Neurology | 150 Broadhollow Rd, Suite 204, Melville, NY 11747-4905 | 2008-12-01 |
| Find all providers in MELVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.