Individual
DAVID THOMAS FRASER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
11 MEADOW LN, EAST WILLISTON, NY 11596-2501
(516) 241-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032080
NY
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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