Tineisha A Fraser is a Specialist based in Massapequa, NY. Tineisha A Fraser practices in Massapequa, NY. The NPI Number for Tineisha A Fraser is 1992422968 and holds a License No. (New York).
The current practice location address for Tineisha A Fraser is 1 Lake St, Massapequa, NY and can be reached out via phone at 631-704-4104.
Location: 1 Lake St, Massapequa, NY, 11758-5508
Provider Profile Details
NPI Number
1992422968
Provider Name
Tineisha A Fraser
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Lake St, Massapequa, NY, 11758-5508
Phone Number
631-704-4104
Fax Number
Provider Enumeration Date
10/20/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1 Lake St
City
State
Zip
11758-5508
Phone Number
631-704-4104
Fax Number
Provider Business Mailing Address Details
Address
1 Lake St
City
State
Zip
11758-5508
Phone Number
631-704-4104
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(New York)
Definition
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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