BRUCE A FASTENBERG MD PLLC
Medical Practice at Broadway, East Atlantic Beach, NY

License number
New York 210692
Category
Medical Practice
Type
Ophthalmology
Owner
Name: BRUCE A FASTENBERG MD
Title: PHYSICIAN
Phone: (917) 838-5680
Address
Address
260 WEST Broadway SUITE 6F, East Atlantic Beach, NY 11561
National Provider ID: 1407944275
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about BRUCE A FASTENBERG MD PLLC at bizstanding.com

BRUCE A. FASTENBERG, M.D., PLLC

260 W Broadway APT 6F, Long Beach, NY 11561

Registration:
Aug 20, 2003
State ID:
2945054
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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