Individual provider · Type 1 NPI

Nissan Shlomo Frager, MD

Student in an Organized Health Care Education/Training Program · Glen Oaks, NY

NPI number 1023697356 Active

Practice location

7559 263rd St
Glen Oaks, NY 11004-1150

Call (718) 470-8100 Map

Mailing address

13749 70th Ave Apt 1B
Flushing, NY 11367-1925

Other practice locations

  • 200 Atlantic Ave, Lynbrook, NY 11563-3505 · (585) 326-0191

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023697356

Nissan Shlomo Frager, MD's National Provider Identifier is 1023697356, issued on Apr 5, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Glen Oaks, NY. The record was last updated on Mar 6, 2026.