WILLIAM FASTENBERG, M.D.
Medical Practice at Broadway, East Atlantic Beach, NY

License number
New York 083746
Category
Medical Practice
Type
Ophthalmology
Address
Address
260 WEST Broadway SUITE 6F, East Atlantic Beach, NY 11561
Phone
(917) 838-5680
National Provider ID: 1326436411
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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William Fastenberg M D PC

260 W Broadway, East Atlantic Beach, NY 11561

Industry:
Nonclassifiable Establishments

WILLIAM FASTENBERG M.D., PC

260 W Broadway 6F, Long Beach, NY 11561

Status:
Inactive
Doing business as:
WILLIAM FASTENBERG, PC
Inactive reason:
Dissolution
Registration:
Oct 24, 1977
Inactive since:
Mar 12, 2013
State ID:
452645
Business type:
DOMESTIC PROFESSIONAL CORPORATION
William Fastenberg Md, 260 W Broadway 6F, Long Beach, NY 11561 (Physical)

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