Ivgenija Fastovsky M.D.

NPI 1043455645 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1043455645
Gender Female
Enumeration Date 12/10/2008
Last Updated 12/10/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
19111 COLLINS AVE APT 2505
SUNNY ISLES BEACH FL, 33160-2384, US
Phone (305) 933-6873
Fax (305) 933-6873
Business Location
19111 COLLINS AVE APT 2505
SUNNY ISLES BEACH FL, 33160-2384, US
Phone (305) 933-6873
Fax (305) 933-6873
Toxanomy
Taxonomy Code 2084P0800X
License State Florida
License Number ME 59109
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According to our database, Dr. Ivgenija Fastovsky M.D. NPI is 1043455645, taxonomy code is 2084P0800X and license number is ME 59109, license state is located at Florida. Ivgenija Fastovsky M.D. physically located at 19111 Collins Ave Apt 2505, Sunny Isles Beach FL, 33160-2384. NPI Number Ivgenija Fastovsky M.D. has the Individual type.

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1043455645 NPI number is provided on an as is basis without warranty of any kind. 1043455645 is maintained by the National Plan & Provider Enumeration System. The contents of Ivgenija Fastovsky M.D. are for informational purposes only.