DR. IVGENIJA FASTOVSKY M.D. NPI 1043455645

NPI Information

NPI: 1043455645
Provider Name: DR. IVGENIJA FASTOVSKY, M.D.
Classification: Psychiatry & Neurology - 2084P0805X
Entity Type: Individual

Specialization: Geriatric Psychiatry

Address:
19111 COLLINS AVE APT 2505
SUNNY ISLES BEACH, FL
ZIP 33160
Phone: (305) 933-6873
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DR. Ivgenija Fastovsky, M.D. is a geriatric psychiatry psychiatry neurology in Sunny Isles Beach, FL. The provider is geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. DR. Ivgenija Fastovsky, M.D. NPI is 1043455645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19111 COLLINS AVE APT 2505
SUNNY ISLES BEACH, FL
ZIP 33160-384
Phone: (305) 933-6873
Fax: (305) 933-6873

The enumeration date for this NPI number is 12/10/2008 and was last updated on 12/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	ME 59109	FLORIDA	No
2	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	ME 59109	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00580525	MEDICAID	NEW YORK
2	P 55311	OTHER	NEW YORK	MEDICARE GHI
3	53A911	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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