Cleve William Frazier, BS/MS OM DIPL AC.
Individual provider Active NPI Acupuncturist · East Rockaway, NY
NPI 1750464277 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1750464277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 002715 (NY)
- Practice address
- 559 Atlantic Ave
East Rockaway, NY 11518-1530 - Phone
- (516) 593-8334
- NPI assigned
- Oct 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002715 | NY | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002715 | NY | Yes |
Addresses
Primary practice location
559 Atlantic Ave
East Rockaway, NY 11518-1530
Mailing address
559 Atlantic Ave
East Rockaway, NY 11518-1530
Phone (516) 593-8333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3364544 | Other | NY | OXFORD |
Other providers in East Rockaway, NY
- Anne Finlan
- Casey Fitzsimons
- Kerry Ann Flanagan - Kelly
- Mark Flyer
- Patricia Mary Forte
- Marian Frias-Walsh
- Vera A. Gallagher
- Marcia Debra Garel
- John Richard Gavencak
- Pamela Beth Gerstman
All providers in East Rockaway, NY · Acupuncturist in New York
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.