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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. STANLEY FERTILIEN, RT

Active Sole Proprietor

MR. STANLEY FERTILIEN, RT is a 2278G1100X healthcare provider located in MONSEY, New York. NPI 1073884953 is currently active in the NPPES registry. Verify at CMS.

2278G1100X · MONSEY, NY

Registration Details

NPI Number
1073884953
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2012 (14.511016087548 yrs)
Last Updated
Jan 24, 2012
License
004526 (NY)
Sole Proprietor
Yes

Practice Information

Address
25 ROBERT PITT DR STE 109
MONSEY, NY, 109523366
Browse NY providers · Browse ZIP 10952
Phone
8456252810
Primary Specialty
2278G1100X
2278G1100X
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.