Bruce A Fastenberg Md Pllc

LBN: Bruce A Fastenberg Md Pllc
Bruce A Fastenberg Md Pllc is an health care organization with primary practice located at 260 West Broadway Suite 6F, Long Beach NY 11561. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Bruce A Fastenberg Md Pllc can be contacted via phone (917) 838-5680, or through Fastenberg, Bruce A via phone (917) 838-5680.

Contact Information

Primary practice address
260 West Broadway Suite 6F Long Beach NY 11561
Phone: (917) 838-5680
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fastenberg, Bruce A Doctor of Medicine (MD)
Phone: (917) 838-5680

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 210692 New York

Profile Details

NPI number 1407944275
LBN Legal business name Bruce A Fastenberg Md Pllc
DBA Doing business as
Authorized official Fastenberg, Bruce A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 26th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407944275 NPPES
New York MEDICAID 02191073

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