License holder summary

FASTENBERG MICHAEL ERIC is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FASTENBERG MICHAEL ERIC is EAST SETAUKET NY. This doctor license is current. The license was granted 02/25/2009 and expired on 11/30/2016.

New York

Office of the Professions

FASTENBERG MICHAEL ERIC
Medicine (Physician, Including M Ds & D Os)
License number
252150
Date granted
02/25/2009
Date expires
11/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
EAST SETAUKET NY
nymedicine.org
ID 30137193
LAST UPDATED 2024-02-15 17:41:24 UTC

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