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TINEISHA A FRASER
NPI 1992422968
Specialist in Massapequa, NY

Active since October 20, 2022
1 LAKE ST, MASSAPEQUA, NY 11758(631) 704-4104 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2022, Oct 20, 2022 (2 updates tracked since 2022).

About Tineisha A Fraser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINEISHA A FRASER (NPI 1992422968) is an individual specialist in Massapequa, New York and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1992422968
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameTINEISHA A FRASER
Location Address1 LAKE STMassapequa, NY 11758-5508
Mailing Address1 Lake StMassapequa, NY 11758-5508 · (631) 704-4104
Phone(631) 704-4104
Sole ProprietorNo
Enumeration DateOctober 20, 2022
Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1992422968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 LAKE ST, Massapequa, NY 11758
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tineisha Fraser's NPI number?

The NPI number for Tineisha Fraser is 1992422968. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Tineisha Fraser located?

Tineisha Fraser practices at 1 Lake St, Massapequa, NY 11758. The listed phone number is (631) 704-4104.

What is Tineisha Fraser's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tineisha Fraser was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.