Individual
DR. MARTIN FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
264 FURNACE DOCK RD, CORTLANDT MANOR, NY 10567-6508
(718) 687-0940
Mailing address
264 FURNACE DOCK RD, CORTLANDT MANOR, NY 10567-6508
(718) 687-0940
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025678
NY
Other
Enumeration date
06/01/2023
Last updated
06/28/2023
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