Tineisha A Fraser
Tineisha A Fraser is a Specialist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
1 Lake StMassapequa, NY 11758-5508
Phone: (631) 704-4104
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X (NY) |
|---|
Record details
| NPI number | 1992422968 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 20, 2022 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | October 24, 2022 |
| Mailing address | 1 Lake St, Massapequa, NY 11758-5508 |
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