Individual
MS. FRAZOLA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 31ST AVE, WOODSIDE, NY 11377-1333
(718) 274-2897
Mailing address
4006 12TH ST, LONG ISLAND CITY, NY 11101-6251
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
407089-1
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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