Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL FASTENBERG, M.D.
ActiveMICHAEL FASTENBERG, M.D. is a Dermatology healthcare provider located in SMITHTOWN, New York. NPI 1073735593 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SMITHTOWN, NY
Registration Details
- NPI Number
- 1073735593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 3, 2007 (19.301996392716 yrs)
- Last Updated
- Jan 26, 2011
- Licenses
-
2006-01943 (NC)252150-1 (NY)
Practice Information
- Address
-
260 MIDDLE COUNTRY RDSUITE 208SMITHTOWN, NY, 117872982Browse NY providers · Browse ZIP 11787
- Phone
- 6318633223
- Fax
- 6318633334
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in SMITHTOWN, NY
| Name | Credential | NPI |
|---|---|---|
| MS. TAMARA KOSS | MD | 1013989599 |
| BARRY A. SOLOMON | MD, JD, FAAD | 1740242031 |
| DR. SNEHAL P AMIN | M.D. | 1376585539 |
| LAWRENCE MARTIN LIEBLICH | MD | 1619985462 |
| FAITH LESLIE LEFFEL | RPA C | 1205901683 |
| DR. DONNA APRIL SERURE | D.O. | 1356494231 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.