Individual
DR. ETHAN D FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 AMSTERDAM AVE, PULMONARY DIVISION, NEW YORK, NY 10025-1716
(212) 523-3314
(212) 523-4590
Mailing address
1790 BROADWAY, 3RD FLOOR, NEW YORK, NY 10019-1412
(212) 315-0144
(212) 315-0196
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
174015
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01892855
—
NY
Enumeration date
08/25/2005
Last updated
10/16/2007
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