Individual
ERROL FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
770 E 176TH ST, BRONX, NY 10460-4617
(718) 583-5150
Mailing address
770 E 176TH ST, BRONX, NY 10460-4617
(718) 583-5150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01294600
—
NY
Enumeration date
01/16/2007
Last updated
05/29/2025
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