| Doctor Name: | MR. STANLEY FERTILIEN |
| NPI Number: | 1073884953 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RT |
| License Number: | 004526 |
| Business Practice Address: | 25 Robert Pitt Dr Ste 109 Monsey, NY - 109523366 |
| Business Phone Number: | 8456252810 |
| Business Fax Number: | |
| Mailing Address: | 247 Oakley Ave, ELMONT |
| State: | NY |
| Postal Code: | 110032533 |
| Phone Number: | 9176000759 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2012 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2278G1100X |
| License Number: | 004526 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Respiratory Therapist, Certified |
| Taxonomy Specialization: | General Care |
| Taxonomy Definition: | This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |