Organization
INSTITUTE FOR COMMUNITY LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JASON FAST M.D. (PSYCHIATRIST)
(718) 855-7485
Entity
Organization
Contact information
Practice address
26 GANUNG DR, OSSINING, NY 10562-3935
(718) 855-7485
(718) 855-1316
Mailing address
26 GANUNG DR, OSSINING, NY 10562-3935
(718) 855-7485
(718) 855-1316
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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