Individual
MS. ANNETTE PAMELLA FRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 COUNTISBURY AVE, VALLEY STREAM, NY 11580-1747
(347) 351-9041
Mailing address
19 COUNTISBURY AVE, VALLEY STREAM, NY 11580-1747
(347) 351-9041
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
507374
NY
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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