Individual
DR. FRED A LADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 NORTHERN BLVD STE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
(516) 325-7001
Mailing address
215 W 92ND ST, APT 7J, NEW YORK, NY 10025-7444
(917) 608-1881
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
196511
NY
2084N0600X
Clinical Neurophysiology Physician
Primary
196511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099245
CIGNA PIN
NY
05
—
02276882
—
NY
01
—
10000021415
AFFINITY HEALTH PIN
NY
01
—
13-1740114
MMC TAX ID
NY
01
—
196511
NYS LICENSE
NY
01
—
196511-A14
HEALTH FIRST PIN
NY
01
—
2530734
US HEALTH - AETNA PIN
NY
01
—
30200
MONTE CMO
NY
01
—
439N91
BLUE SHIELD PIN
NY
01
—
N65876
HEALTHNET-PHS PIN
NY
01
—
P2456425
OXFORD PIN
NY
01
—
P2852741
OXFORD PIN
NY
Enumeration date
10/26/2006
Last updated
03/07/2023
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