NPI

Bradley Duane Frey

NPI 1013990209

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2005-11-22
Last updated
2024-02-12

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Specialties

Licenses

License NY
009322

Location

Practice location
4 Fuller St
City
Alexandria Bay NY
Postal code
13607-1391
Phone
(315) 482-1203

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Alexandria Bay, NY. 81 records in the public file.

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