Individual
FAYE FRAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BANK AVE, SMITHTOWN, NY 11787-2703
(631) 265-5300
Mailing address
17 BANK AVE, SMITHTOWN, NY 11787-2703
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
753127
NY
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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