Individual
DR. ELIZABETH DORIS FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
250 W 57TH ST STE 501, NEW YORK, NY 10107-0500
(646) 505-9438
Mailing address
250 W 57TH ST STE 501, NEW YORK, NY 10107-0500
(646) 505-9438
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016429
NY
Other
Enumeration date
02/21/2009
Last updated
08/23/2013
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