Organization
LONG ISLAND VITREO RETINAL CONSULTANTS PC
Active
Other names
Vitreoretinal Consultants pc
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M FASTENBERG MD (AUTHORIZED OFFICIAL)
(516) 466-0390
Entity
Organization
Contact information
Practice address
9131 QUEENS BLVD, SUITE 209, ELMHURST, NY 11373-5555
(718) 793-6430
(718) 793-6321
Mailing address
9131 QUEENS BLVD, SUITE 209, ELMHURST, NY 11373-5555
(718) 793-6430
(718) 793-6321
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00710554
—
NY
Enumeration date
08/17/2006
Last updated
02/13/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us