Dr Ivgenija Fastovsky, MD | |
19111 Collins Ave Apt 2505, Sunny Isles Beach, FL 33160-2384 | |
(305) 933-6873 | |
(305) 933-6873 |
Full Name | Dr Ivgenija Fastovsky |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 19111 Collins Ave Apt 2505, Sunny Isles Beach, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043455645 | NPI | - | NPPES |
P 55311 | Other | NY | MEDICARE GHI |
00580525 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME 59109 (Florida) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | ME 59109 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Ivgenija Fastovsky, MD 19111 Collins Ave Apt 2505, Sunny Isles Beach, FL 33160-2384 Ph: (305) 933-6873 | Dr Ivgenija Fastovsky, MD 19111 Collins Ave Apt 2505, Sunny Isles Beach, FL 33160-2384 Ph: (305) 933-6873 |
Nikita Bodoukhin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 17100 Collins Ave Ste 216, Sunny Isles Beach, FL 33160 Phone: 305-204-5665 |