Fraser, Michael Duncan

Fraser, Michael Duncan is an sole proprietor health care provider with primary practice located at 234 E 149Th St Unit 4A Lincoln Hospital, Bronx NY 10451-5504. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fraser, Michael Duncan can be contacted via phone (718) 579-5476.

Contact Information

Primary practice address
234 E 149Th St Unit 4A Lincoln Hospital Bronx NY 10451-5504
Phone: (718) 579-5476
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 015307 New York

Profile Details

NPI number 1760543441
LBN Legal business name Fraser, Michael Duncan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760543441 NPPES
New York Other 015307 NEW YORK STATE LICENSE ID
New York MEDICAID 340810 NEW YORK STATE LICENSE ID

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