Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 094718 | NY |
NPI | 1043334329 |
---|---|
Provider Name | Robert W Frater |
First Address | Bronxville, NY 10708-2201 |
Second Address | Bronx, NY 10461-2660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 08/07/2007 |