Individual provider · Type 1 NPI

Tineisha A. Fraser

Specialist · Massapequa, NY

NPI number 1992422968 Active

Practice location

1 Lake St
Massapequa, NY 11758-5508

Call (631) 704-4104 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992422968

Tineisha A. Fraser's National Provider Identifier is 1992422968, issued on Oct 20, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on Oct 24, 2022.