SearchNew YorkDermatology Physician

Michael Fastenberg, M.D

NPI 1073735593 · on the registry since 2007

Practice

Address
260 Middle Country Rd
Suite 208
Smithtown, NY 11787
Phone
(631) 863-3223
Fax
(631) 863-3334
Organisation at this address
Marina I Peredo Md Pc
Suffolk Heart Group, Llp
Marjorie C. Ravitz Dpm Pc
Smithtown Prescription Center Inc
Gerard Furst And Marjorie Ravitz Dpm Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
Dermatology Physician
207N00000X
Also registered as
Dermatology Physician
Licence states on file
NC, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York