Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bruce a Fastenberg MD PLLC

Organization Ophthalmology Physician · NPI 1407944275

Bruce a Fastenberg MD PLLC is an Ophthalmology Physician in Long Beach, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

260 W Broadway Ste 6F
Long Beach, NY 11561
Phone: (917) 838-5680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 210692 (NY)

Record details

NPI number1407944275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Fastenberg — Physician · (917) 838-5680
NPI enumeratedOctober 10, 2006
Last updated in NPPESDecember 26, 2014
Mailing address260 West Broadway, Suite 6f, Long Beach, NY 11561

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