Individual
DOUGLAS FRAIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
743 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-2266
(518) 477-7535
Mailing address
743 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-2266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001433-1
NY
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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