Robert Timothy Frazier Jr., DDS
Individual provider Active NPI Dentist · Cohoes, NY
NPI 1457464935 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457464935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 029659 (NY)
- Practice address
- 70 Remsen St
Cohoes, NY 12047 - Phone
- (518) 237-0700
- Fax
- (518) 237-0725
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Mitola, D.D.S., L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 029659 | NY | Yes |
Addresses
Primary practice location
70 Remsen St
Cohoes, NY 12047
Mailing address
70 Remsen St
Cohoes, NY 12047
Phone (518) 237-0700
Other providers in Cohoes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.