Organization
NAGI J BUSTROS, MD & ANTOINE V FERNAINE, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE V FERNAINE MD (DIRECTOR)
(718) 238-0098
Entity
Organization
Contact information
Practice address
217 OVINGTON AVE, BROOKLYN, NY 11209-1204
(718) 238-0098
(718) 836-6849
Mailing address
217 OVINGTON AVE, BROOKLYN, NY 11209-1204
(718) 238-0098
(718) 836-6849
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
122899
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00679929
—
NM
Enumeration date
08/13/2006
Last updated
08/22/2020
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