| Doctor Name: | MR. JEFFREY T FRAILS |
| NPI Number: | 1215249636 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.A., CASAC |
| License Number: | 22267 |
| Business Practice Address: | 3 Corporate Dr Peekskill, NY - 105661846 |
| Business Phone Number: | 9142573500 |
| Business Fax Number: | 9147372508 |
| Mailing Address: | 3 Corporate Dr, PEEKSKILL |
| State: | NY |
| Postal Code: | 105661846 |
| Phone Number: | 9142573500 |
| Fax Number: | 9147372508 |
| NPI Enumeration Date: | 07/14/2010 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 22267 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |