National Provider Identifier
Octavia Shatise Frazier-Porter
Octavia Shatise Frazier-Porter is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-3563.
Profile Overview
- NPI
- 1750170064
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 02, 2025
- Last Updated
- May 02, 2025
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-0001
Phone: (585) 275-3563
Mailing Address
- 16 Marshall St Apt 1F
- Irvington, NJ 07111-3627
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1750170064
- Entity Type
- Individual
- Last Name
- Frazier-Porter
- First Name
- Octavia
- Middle Name
- Shatise
- Mailing Street Address
- 16 Marshall St Apt 1F
- Mailing City
- Irvington
- Mailing State
- NJ
- Mailing ZIP Code
- 07111-3627
- Mailing Country
- US
- Mailing Phone
- (718) 650-0398
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-3563
- Enumeration Date
- May 02, 2025
- Last Updated
- May 02, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 02, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)