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Individual

MICHAEL FRAZIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
463 WILLIAM ST, BUFFALO, NY 14204-1811
(716) 893-0062
(716) 893-0070
Mailing address
184 PATRICK LN, BUFFALO, NY 14225-5226
(716) 602-4891

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24688
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YM0800X
NY
Enumeration date
02/22/2017
Last updated
03/07/2023
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