Individual
DR. SIMON FENSTERSZAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7 CREEK LN, BRISTOL, RI 02809-2401
(718) 964-6161
Mailing address
250 SKILLMAN ST STE 202, BROOKLYN, NY 11205-1218
(718) 964-6161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
249846
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03157917
—
NY
Enumeration date
06/19/2008
Last updated
06/19/2026
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