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BRUCE A FASTENBERG MD PLLC NPI 1407944275


NPI Information

NPI: 1407944275
Provider Name: BRUCE A FASTENBERG MD PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
260 WEST BROADWAY
SUITE 6F
LONG BEACH, NY
ZIP 11561
Phone: (917) 838-5680
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BRUCE A FASTENBERG MD PLLC is an ophthalmology in Long Beach, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. BRUCE A FASTENBERG MD PLLC NPI is 1407944275. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

260 WEST BROADWAY
SUITE 6F
LONG BEACH, NY
ZIP 11561
Phone: (917) 838-5680

The provider's authorized official is Bruce A Fastenberg .
The authorized official title is Physician and has the following contact phone number (917) 838-5680.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/26/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology210692NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H48827MEDICARE UPIN
2385B91MEDICARE ID-TYPE UNSPECIFIED
302191073MEDICAIDNEW 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: 4/28/2024

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