Individual
DR. ENZO F FANTIN-YUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
276 5TH AVE RM 604, NEW YORK, NY 10001-4527
(585) 376-2160
(615) 535-4280
Mailing address
276 5TH AVE RM 604, NEW YORK, NY 10001-4527
(585) 376-2160
(615) 535-4280
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
324212
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
03/23/2026
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