Organization
ENZO FANTIN-YUSTA MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENZO F FANTIN-YUSTA MD (OWNER)
(585) 376-2160
Entity
Organization
Contact information
Practice address
276 5TH AVE RM 604, NEW YORK, NY 10001-4527
(585) 376-2160
(615) 535-4280
Mailing address
418 BROADWAY STE N, ALBANY, NY 12207-2922
(585) 376-2160
(615) 535-4280
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/19/2026
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