Individual
ANNA N FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032
(212) 305-6575
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(508) 330-0958
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382892
NY
Other
Enumeration date
07/25/2018
Last updated
10/13/2023
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