Individual
DOUGLAS ROGER FRIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
794 MERRICK AVE, EAST MEADOW, NY 11554-4702
(516) 486-4440
Mailing address
794 MERRICK AVE, EAST MEADOW, NY 11554-4702
(516) 486-4440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029493-1
NY
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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