National Provider Identifier
Odessa Fraser
Odessa Fraser is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 588-8318.
Profile Overview
- NPI
- 1386397404
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 28, 2022
- Last Updated
- January 28, 2022
Practice Location
- 50 E North St
- Buffalo, NY 14203-1002
Phone: (716) 588-8318
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1386397404
- Entity Type
- Individual
- Last Name
- Fraser
- First Name
- Odessa
- Mailing Street Address
- 50 E North St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1002
- Mailing Country
- US
- Mailing Phone
- (716) 885-8318
- Practice Street Address
- 50 E North St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1002
- Practice Country
- US
- Practice Phone
- (716) 588-8318
- Enumeration Date
- January 28, 2022
- Last Updated
- January 28, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 28, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)