| 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: Accepting Medicare Assignments Practice Location: 17100 Collins Ave Ste 216, Sunny Isles Beach, FL 33160 Phone: 305-204-5665 |