DALE ANTHONY FRASER (NPI# 1699339051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699339051 |
Entity Type | Individual |
Full Name | DALE ANTHONY FRASER |
Practice Address |
16318 Jamaica Ave Jamaica NY 11432-4919 |
Practice Telephone | 7186580010 |
Enumeration Date | 2019-04-30 |
Last Update Date | 2019-04-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
16318 JAMAICA AVE |
City | JAMAICA |
State | NY |
Zip Code | 11432-4919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760532279 | Safe Space Nyc, Inc. | Social Worker | 16318 Jamaica Ave, Jamaica, NY 11432-4901 | 2007-01-10 |
1548811672 | Stacey Abigail Mohamed | Counselor | 16318 Jamaica Ave, Jamaica, NY 11432-4919 | 2019-09-20 |
1801450051 | Annette Rivera | Counselor | 16318 Jamaica Ave, Jamaica, NY 11432-4919 | 2019-04-23 |
1760955710 | Karen Mohammed | Counselor | 16318 Jamaica Ave, Jamaica, NY 11432-4919 | 2019-01-02 |
1679044614 | Julia Floyd-ventura | Counselor | 16318 Jamaica Ave, Jamaica, NY 11432-4919 | 2018-12-17 |
1316455819 | Vanessa Bryant | Social Worker | 16318 Jamaica Ave, Jamaica, NY 11432-4919 | 2018-01-18 |
1710435482 | Roshaun Allison Knight | Student in an Organized Health Care Education/Training Program | 16318 Jamaica Ave, Jamaica, NY 11432-4919 | 2016-09-12 |
1679021331 | Beth Hoffman Patalona | Student in an Organized Health Care Education/Training Program | 16318 Jamaica Ave, 4th Floor, Jamaica, NY 11432-4919 | 2016-09-12 |
1942652318 | Erin Combs | Counselor | 16318 Jamaica Ave, Jamaica, NY 11432-4919 | 2016-07-08 |
1679963847 | Angela Outerbridge | Registered Nurse | 16318 Jamaica Ave, 5th Floor, Jamaica, NY 11432-4919 | 2015-01-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
Find all providers in zip 11432 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598329732 | Debra Lynn West | Counselor | 16318 Jamaica Ave Ste 5, Jamaica, NY 11432-4901 | 2019-04-23 |
1265096408 | Tiffany Monique Hines | Counselor | 16318 Jamaica Ave Ste 501, Jamaica, NY 11432-4919 | 2019-04-23 |
1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
1912426594 | Curtis Evans | Counselor | 17520 Hillside Ave Ste 2, Jamaica, NY 11432-5732 | 2017-09-14 |
1851811509 | Donna Pickersgill-brown | Counselor | 17020 130th Ave Apt 6a, Jamaica, NY 11434-3226 | 2017-06-23 |
1003336074 | Marie Elizabeth Manley | Counselor | 16204 Tuskegee Airmen Way, Jamaica, NY 11433-1608 | 2017-06-21 |
1689123796 | Colin Kowlessar | Counselor | 17732 129th Ave, Jamaica, NY 11434-5822 | 2016-09-30 |
1356714141 | Mervin Rhymes | Counselor | 11630 Sutphin Blvd., Jamaica, NY 11434 | 2015-11-03 |
1720332067 | Shola Thompson | Counselor | 10704 Guy R Brewer Blvd, Suite 7c, Jamaica, NY 11433-2380 | 2012-11-08 |
1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.