Individual
BILLIE-JEAN FRAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Mailing address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
644986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
644986
RN LICENSE # 644986
NY
Enumeration date
08/08/2011
Last updated
08/08/2011
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