Individual
MARY MARGARET FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, RDN
Contact information
Practice address
152 HICKS ST, BROOKLYN, NY 11201-2303
(917) 704-2429
Mailing address
137 MONTAGUE ST # 394, BROOKLYN, NY 11201-3548
(917) 232-3322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076744
NY
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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