Organization
DANIEL FAUSTIN MEDICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL FAUSTIN MD (PRESIDENT)
(516) 639-5535
Entity
Organization
Contact information
Practice address
461 PARK AVE S, NEW YORK, NY 10016-6822
(212) 473-6500
Mailing address
41 DORAL DR, MANHASSET, NY 11030-3907
(516) 639-5535
(516) 365-1570
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
135376
NY
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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