Individual
DR. JOEL R FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5C MEDICAL PARK DR, POMONA, NY 10970-3516
(845) 354-1655
(845) 354-8470
Mailing address
9 WASHINGTON CIRCLE, NEW CITY, NY 10956-3740
(845) 639-1902
(845) 354-8470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0029305
NY
122300000X
Dentist
22DI00898400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325219
—
NY
Enumeration date
12/11/2006
Last updated
03/08/2012
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