Organization
NEUROSTAR IOM MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA FRID M.D. (PRESIDENT)
(212) 288-8832
Entity
Organization
Contact information
Practice address
9 E 68TH ST, STE 1C, NEW YORK, NY 10065-4915
(212) 288-8832
Mailing address
9 E 68TH ST, STE 1C, NEW YORK, NY 10065-4915
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
249043-1
NY
305S00000X
Point of Service
249043-1
NY
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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