Individual
GILL L FREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 WATERS PL, SUITE M104, BRONX, NY 10461-2728
(718) 794-1200
Mailing address
2452 BRONX PARK E, BRONX, NY 10467-7503
(718) 655-4956
(718) 652-8058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
168619
NY
207RN0300X
Nephrology Physician
Primary
168619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01251725
—
NY
Enumeration date
10/11/2005
Last updated
05/26/2016
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