National Provider Identifier Database

BRUCE A FASTENBERG MD PLLC
Ophthalmology

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.


Contact Information

BRUCE A FASTENBERG MD PLLC
260 WEST BROADWAY
SUITE 6F
LONG BEACH, NY11561
Phone: 917-838-5680
Fax:
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for BRUCE A FASTENBERG MD PLLC

NPI Number 1407944275
Legal business name
LBN
BRUCE A FASTENBERG MD PLLC
Authorized official BRUCE FASTENBERG - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/10/2006
Last updated 12/26/2014 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 210692
  • NY Medicaid: 02191073

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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