MEDICARE: WILLIAM I. KESTIN, MD,PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	143054	NY

General Provider Information

NPI Number	:	1396885117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM I. KESTIN, MD,PC

Provider Business Mailing Address
First Line	:	2613 E 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3805
Country	:	US
Telephone Number	:	718-332-1313
Fax Number	:	718-332-5070

Provider Business Practice Location Address
First Line	:	2613 E 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3805
Country	:	US
Telephone Number	:	718-332-1313
Fax Number	:	718-332-5070

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. WILLIAM I KESTIN
Credential	:	MD
Telephone Number	:	718-332-1313

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	04/22/2008

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