Individual
PATRICIA FRAYRE ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 MERRICK ROAD, 302, BELLMORE, NY 11710
(646) 327-2723
Mailing address
4321 57TH ST APT 1F, WOODSIDE, NY 11377
(646) 327-2723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310869011
DRIVER LICENSE
NY
Enumeration date
11/17/2016
Last updated
11/17/2016
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