Jayne N Frater
Specialist in Bronx, NY. Individual provider (NPI-1).
NPI number1891472007
StatusActive
Last updated in NPPESJun 29, 2023
Details
- NPI
- 1891472007
- Entity type
- Individual (NPI-1)
- Name
- Jayne N Frater
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2023
- Certification date
- Apr 23, 2022
- Last updated
- Jun 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
2331 Mickle AveBronx, NY 10469-6311
Phone 646-623-1907
Mailing address
2331 Mickle AveBronx, NY 10469-6311
Phone 646-623-1907
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