Individual
DR. MARY FRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
295 ROUTE 304, BARDONIA, NY 10954-2153
(845) 215-9567
Mailing address
21 DIANE DR, BLAUVELT, NY 10913-1209
(845) 215-9567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020-02432
NC
207Q00000X
Family Medicine Physician
25MA10010000
NJ
207Q00000X
Family Medicine Physician
Primary
313370-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0627071
—
NJ
Enumeration date
04/04/2014
Last updated
05/02/2023
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