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Individual

DR. KELLY FRADIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
36 E 57TH STREET 5TH FL, NEW YORK, NY 10022
(212) 600-2000
(917) 722-1091
Mailing address
110 E 60TH ST RM 808, NEW YORK, NY 10022-1795
(917) 781-1919
(917) 722-1091

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271362
NY

Other

Enumeration date
07/11/2011
Last updated
10/31/2024
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