Organization
LADY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE FRASER MD (OWNER)
(860) 380-0487
Entity
Organization
Contact information
Practice address
1309 5TH AVE APT 2E, NEW YORK, NY 10029-3145
(860) 380-0487
Mailing address
1309 5TH AVE APT 2E, NEW YORK, NY 10029-3145
(860) 380-0487
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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