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

DR. IRA L. FASTLICH, MD

Active

DR. IRA L. FASTLICH, MD is a Diagnostic Radiology healthcare provider located in LINDENHURST, New York. NPI 1891752770 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · LINDENHURST, NY

Registration Details

NPI Number
1891752770
Provider Type
Individual
Gender
Male
NPI Issued
Apr 26, 2006 (20.308174877314 yrs)
Last Updated
Sep 5, 2012
License
161418 (NY)

Practice Information

Address
150 E SUNRISE HWY
SUITE 201
LINDENHURST, NY, 117572598
Browse NY providers · Browse ZIP 11757
Phone
6312257200
Fax
6319309451
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in LINDENHURST, NY

Name Credential NPI
ALAN R MELTON MD 1588660591
PATRICIA A KELLY MD 1255339743
DR. ALAN BARRY GREENFIELD MD 1548269848
DR. MELISSA SAPAN M.D. 1487654885
MARK J DECKER MD 1023002862
DR. VAIMAN SHIRLEY TSANG M.D. 1720061682
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.