IRA L. FASTLICH

LINDENHURST, NY
NPI1891752770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NY  161418)
Enumeration Date2006-04-26
Last Update Date2012-09-05
Business Address
Dr. IRA L. FASTLICH MD
150 E SUNRISE HWY SUITE 201
LINDENHURST, NY 11757-2598
Phone number: 631-225-7200
Mailing Address
Dr. IRA L. FASTLICH MD
150 E SUNRISE HWY SUITE 201
LINDENHURST, NY 11757-2598
Phone number: 631-225-7200
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