Fastenberg, Michael
Fastenberg, Michael is an individual health care provider with primary practice located at 260 Middle Country Rd Suite 208, Smithtown NY 11787-2982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Fastenberg, Michael can be contacted via phone (631) 863-3223.Contact Information
Primary practice address
260 Middle Country Rd Suite 208
Smithtown NY 11787-2982
Phone: (631) 863-3223
Fax: (631) 863-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2006-01943 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 252150-1 | New York |
Profile Details
| NPI number | 1073735593 |
|---|---|
| LBN Legal business name | Fastenberg, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jan 26th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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