Individual
DR. NORMAN S. FASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2291 HYLAN BLVD, STATEN ISLAND, NY 10306-3231
(718) 351-3515
(718) 351-2407
Mailing address
2291 HYLAN BLVD, STATEN ISLAND, NY 10306-3231
(718) 351-3515
(718) 351-2407
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
81439
NY
Other
Enumeration date
02/21/2006
Last updated
10/19/2011
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