Individual
BROOKE LEE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5294
Mailing address
4984 KINGSTON RD, ELBRIDGE, NY 13060-9773
(315) 460-0092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341870-1
NY
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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