Individual
MATTHEW FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
124 BOWAY RD, SOUTH SALEM, NY 10590-1603
(917) 673-1555
Mailing address
124 BOWAY RD, SOUTH SALEM, NY 10590-1603
(917) 673-1555
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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