Individual
DR. ALFRED FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 10TH ST, SUITE 707, NIAGARA FALLS, NY 14301-1841
(716) 282-5388
(716) 282-5353
Mailing address
620 10TH ST, SUITE 707, NIAGARA FALLS, NY 14301-1841
(716) 282-5388
(716) 282-5353
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
122023
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
122023
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010053601
UNIVERA
NY
01
—
00050713003
BLUE CROSS/BLUE SHIELD
NY
05
—
00632068
—
NY
01
—
1890012
INDEPENDENT HEALTH
NY
Enumeration date
08/23/2006
Last updated
09/11/2025
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