Provider Demographics
NPI:1144049339
Name:FIERSTEIN, ALLAN HOWARD (MA)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:HOWARD
Last Name:FIERSTEIN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 PROSPECT AVE APT 3O
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2597
Mailing Address - Country:US
Mailing Address - Phone:201-742-2552
Mailing Address - Fax:201-342-4712
Practice Address - Street 1:280 PROSPECT AVE APT 3O
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2597
Practice Address - Country:US
Practice Address - Phone:201-742-2552
Practice Address - Fax:201-342-4712
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor