Individual
MS. SKYE FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPED
Contact information
Practice address
573 6TH ST APT 10, BROOKLYN, NY 11215-3715
(718) 300-3517
Mailing address
573 6TH ST APT 10, BROOKLYN, NY 11215-3715
(718) 300-3517
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
873425
NY
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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