Individual
CANDICE L FRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E 110TH ST APT 4W, NEW YORK, NY 10029-3051
(917) 763-7022
Mailing address
305 E 110TH ST APT 4W, NEW YORK, NY 10029-3051
(917) 763-7022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
122667
NY
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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