Individual
MR. CARLNELL SAMUEL FRAZIER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
25 FLATBUSH AVE STE 3, BROOKLYN, NY 11217-2499
(718) 852-5212
Mailing address
1695 MADISON AVE APT 8G, NEW YORK, NY 10029-1821
(929) 345-5213
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-810
NY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/08/2019
Last updated
06/23/2023
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