Individual
MR. BRADLEY DUANE FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1391
(315) 482-1203
(315) 482-4911
Mailing address
4 FULLER ST, ALEXANDRIA BAY, NY 13607-1391
(315) 482-1277
(315) 482-5553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009322
NY
Other
Enumeration date
11/22/2005
Last updated
02/12/2024
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