Individual
DR. GLENN RORY FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6705
(516) 572-5140
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6705
(516) 572-5140
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
180968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01363560
—
NY
Enumeration date
11/09/2006
Last updated
04/25/2014
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