Individual
DR. ROBERT FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 SUNRISE HWY, MASSAPEQUA, NY 11758-5303
(516) 541-1721
(516) 541-1463
Mailing address
4277 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5709
(516) 731-7770
(516) 731-7052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
141462
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
141462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00850404
—
NY
Enumeration date
10/18/2006
Last updated
09/11/2025
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