Organization
MARVIN J, FINE
Active
Other names
Affiliated Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN J FINE PHD (DIRECTOR)
(518) 783-1051
Entity
Organization
Contact information
Practice address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 783-1051
(518) 783-1051
Mailing address
70 NOTT ROAD, REXFORD, NY 12148
(518) 783-1051
(518) 783-1051
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010014-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01587604
—
NY
05
—
01698604
—
NY
Enumeration date
10/11/2007
Last updated
10/11/2007
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