Individual
MS. AVIVA FRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18443 MIDLAND PKWY, JAMAICA, NY 11432-1527
(718) 591-5951
Mailing address
18443 MIDLAND PKWY, JAMAICA, NY 11432-1527
(718) 591-5951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009924-1
NY
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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