Individual
JUSTIN FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4600
(212) 305-7439
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
279576
NM
207RC0000X
Cardiovascular Disease Physician
279576
NY
Other
Enumeration date
04/15/2012
Last updated
02/20/2020
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