Individual provider · Type 1 NPI

Ira L. Fastlich, MD

Diagnostic Radiology Physician · Lindenhurst, NY

NPI number 1891752770 Active

Practice location

150 E Sunrise Hwy, Suite 201
Lindenhurst, NY 11757-2598

Call (631) 225-7200 Map

Fax (631) 930-9451

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X161418 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1891752770

Ira L. Fastlich, MD's National Provider Identifier is 1891752770, issued on Apr 26, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lindenhurst, NY. The record was last updated on Sep 5, 2012.