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Daniel Frater, LCSW

Social Worker, Clinical in Forest Hills, NY. Individual provider (NPI-1).

NPI number1629623830
StatusActive
Last updated in NPPESAug 5, 2019

Details

NPI
1629623830
Entity type
Individual (NPI-1)
Name
Daniel Frater
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 5, 2019
Last updated
Aug 5, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical086328-1NYYes

Practice location

9415 68th Ave
Forest Hills, NY 11375-5135

Phone 646-441-1542

Mailing address

9415 68th Ave
Forest Hills, NY 11375-5135

Phone 646-441-1542

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