Individual provider · Type 1 NPI

Michael Fastenberg, MD

Dermatology Physician · Smithtown, NY

NPI number 1073735593 Active

Practice location

260 Middle Country Rd, Suite 208
Smithtown, NY 11787-2982

Call (631) 863-3223 Map

Fax (631) 863-3334

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X2006-01943 (NC)
Dermatology Physician Primary 207N00000X252150-1 (NY)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1073735593

Michael Fastenberg, MD's National Provider Identifier is 1073735593, issued on May 3, 2007. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Smithtown, NY. The record was last updated on Jan 26, 2011.