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Organization

SF CONNECTICUT MEDICAL SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMON FENSTERSZAUB DO (OWNER)
(212) 734-6621
Entity
Organization

Contact information

Practice address
2798 WHITNEY AVE, HAMDEN, CT 06518-2554
(877) 258-6331
(718) 414-1651
Mailing address
228 E ROUTE 59 # 408, NANUET, NY 10954-2905
(718) 362-1411
(718) 414-1651

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62202
LICENSE
CT
Enumeration date
03/09/2019
Last updated
01/19/2023
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