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Individual

JENNIFER FRYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
150 BROADHOLLOW RD, SUITE 100, MELVILLE, NY 11747-4905
(631) 673-5700
(631) 673-0506
Mailing address
21008 NORTHERN BLVD, SUITE 2, BAYSIDE, NY 11361-3211
(718) 227-8200
(718) 819-0244

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
189419
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116016
VYTRA
NY
01
160682
THE ELDER PLAN
NY
01
2299669
GHI
NY
01
2691261
AETNA
NY
01
2H5051
EMPIRE BC BS BAYSIDE
NY
01
2H5052
EMPIRE BC BS HUNTINGTON
NY
01
P2539119
OXFORD
NY
Enumeration date
11/14/2006
Last updated
09/08/2010
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