Fast, Brian Louis

Fast, Brian Louis is an individual health care provider with primary practice located at 196 Delaware Avenue , Delmar NY 12054-1227. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Fast, Brian Louis can be contacted via phone (518) 439-0033.

Contact Information

Primary practice address
196 Delaware Avenue Delmar NY 12054-1227
Phone: (518) 439-0033
Fax: (518) 439-7167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8557 New York

Profile Details

NPI number 1144212283
LBN Legal business name Fast, Brian Louis
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144212283 NPPES
New York MEDICAID 01238215

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