Individual
GAIL FRASER-FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 GRANNY RD, FARMINGVILLE, NY 11738-2130
(631) 698-3258
(631) 698-3259
Mailing address
180 GRANNY RD, FARMINGVILLE, NY 11738-2130
(631) 698-3258
(631) 698-3259
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
216533
NY
207R00000X
Internal Medicine Physician
216533
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02207252
—
NY
Enumeration date
07/09/2006
Last updated
02/11/2019
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