Individual
MATTHEW NOAH FASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 CUTTERMILL RD STE 404, GREAT NECK, NY 11021-3104
(914) 527-0339
Mailing address
60 CUTTERMILL RD STE 404, GREAT NECK, NY 11021-3104
(914) 527-0339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P132187
NY
Other
Enumeration date
03/28/2021
Last updated
05/26/2025
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