Individual
DR. CYNTHIA H FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7785 N STATE ST, SUITE 210, LOWVILLE, NY 13367-1229
(315) 348-8407
(315) 376-5129
Mailing address
PO BOX 2337, SYRACUSE, NY 13220-2337
(315) 701-5607
(315) 701-5608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
228497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462733
—
NY
01
—
MDH508
PREFERRED CARE
NY
01
—
P010228497
BLUE SHIELD
NY
Enumeration date
02/09/2006
Last updated
12/13/2011
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