Individual
DR. ROBERT S FESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., LIC
Contact information
Practice address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-4442
(631) 471-3039
Mailing address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-4442
(631) 471-3039
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
118254
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281718
—
NY
Enumeration date
08/24/2006
Last updated
03/28/2012
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