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1144212283
BRIAN LOUIS FAST
DELMAR, NY
NPI
1144212283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: NY 8557)
Enumeration Date
2005-08-16
Last Update Date
2007-11-06
Business Address
Dr. BRIAN LOUIS FAST PsyD
196 DELAWARE AVENUE
DELMAR, NY 12054-1227
Phone number: 518-439-0033
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Mailing Address
Dr. BRIAN LOUIS FAST PsyD
402 UNION ST
SCHENECTADY, NY 12305-1119
Phone number: 518-374-7555
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