IndividualActive
Amy Lustig, DPM
NPI 1902973407 · Foot & Ankle Surgery Podiatrist · Philadelphia, PA
Provider details
- NPI number
- 1902973407
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- SC004390L (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
9892 Bustleton Ave
Suite 303
Philadelphia, PA 19115-2184
Phone: (215) 673-3200
Fax: (215) 673-3884
Approximate (ZIP-level) locationGet directions
Mailing address
9892 Bustleton Ave
Philadelphia, PA 19115-2184
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.