Individual
PHILIP FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 OLD MAMARONECK RD, WHITE PLAINS, NY 10605-2060
(914) 949-6070
Mailing address
6 LOWELL AVE, NEW HYDE PARK, NY 11040-2810
(516) 326-4160
(516) 437-0482
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
160340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01850820
—
NY
Enumeration date
07/29/2005
Last updated
10/30/2019
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