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NPI Code Detail

MEDICARE: ROSEMARY GRACE FRAZEE PT

MEDICARE: ROSEMARY GRACE FRAZEE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist042122-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1042122-1OTHERNYNOT REQUIRED

General Provider Information

NPI Number : 1538688700
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY GRACE FRAZEE PT
Provider Business Mailing Address
First Line : 792 N MAIN ST STE 100C
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-1667
Country : US
Telephone Number : 315-458-2552
Fax Number : 315-458-2575
Provider Business Practice Location Address
First Line : 792 N MAIN ST STE 100C
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-1667
Country : US
Telephone Number : 315-458-2552
Fax Number : 315-458-2575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2017
Last Update Date : 07/15/2022

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Directions to “ ROSEMARY GRACE FRAZEE PT” Practice Location

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