Individual
ERIC FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 NY-9H, HUDSON, NY 12534
(347) 404-0140
Mailing address
12 WILLOWDALE FARMS, CLAVERACK, NY 12513-5153
(347) 404-0140
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002468
NY
225A00000X
Music Therapist
002468
NY
225A00000X
Music Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02850677
—
NY
Enumeration date
05/31/2019
Last updated
12/08/2022
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