Individual
DR. PAVEL FADEEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1891
(718) 604-5928
(718) 604-5699
Mailing address
441 WEST END AVE, SUITE 2-C, NEW YORK, NY 10024
(347) 461-4446
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
018621
NY
Other
Enumeration date
08/26/2009
Last updated
03/27/2015
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