AVITAL FAST

BRONX, NY
NPI1619061975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  167979)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
AVITAL FAST MD
MMC - DEPT. OF REHAB MEDICINE 111 EAST 210TH STREET
BRONX, NY 10467
Phone number: 718-920-2751
Mailing Address
AVITAL FAST MD
16 SOUTHLAND DR
GLEN COVE, NY 11542-1012
Phone number: 718-920-2751
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