Individual
DR. MARIA FAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
31 HERRICK AVE, DELMAR, NY 12054-1120
(518) 396-0009
Mailing address
31 HERRICK AVE, DELMAR, NY 12054-1120
(518) 396-0009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012470
NY
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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