Provider Demographics
NPI:1760738835
Name:MASTER FASTER INC.
Entity Type:Organization
Organization Name:MASTER FASTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-477-5000
Mailing Address - Street 1:105 SCHUNNEMUNK RD
Mailing Address - Street 2:# 112
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-6104
Mailing Address - Country:US
Mailing Address - Phone:845-477-5000
Mailing Address - Fax:845-477-5131
Practice Address - Street 1:105 SCHUNNEMUNK RD
Practice Address - Street 2:# 112
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-6104
Practice Address - Country:US
Practice Address - Phone:845-477-5000
Practice Address - Fax:845-477-5131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty