Individual
DR. ANDREW JAY FASKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
241654
NY
2084N0400X
Neurology Physician
Primary
241654
NY
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
241654
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03091114
—
NY
Enumeration date
08/27/2008
Last updated
08/12/2020
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