Individual
DOMINIQUE D FRASIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED
Contact information
Practice address
5962 ROUTE 31, SUITE 7, CICERO, NY 13039
(315) 698-0033
(315) 698-0031
Mailing address
5521 TOPSFIELD LN, CLAY, NY 13041-8679
(646) 286-5960
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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