Individual
RALPH FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 DAYTON LN STE 205, PEEKSKILL, NY 10566-2860
(914) 736-3371
(914) 736-3372
Mailing address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
(914) 965-3883
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE ID#
NY
Enumeration date
12/09/2008
Last updated
12/09/2008
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