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General NPI Number Information
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NPI Number | 1205125036
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Entity Type | Organization
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Legal Business Name | ELENA FRID MD PC
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Dates
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Enumeration Date | 04/01/2011
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 151 E 62ND ST STE 1A
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City | NEW YORK
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State | NY
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Zip | 10065-7620
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Country | US
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Telephone | 212-288-8832
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Fax | 646-924-0579
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Provider Business Mailing Address
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Address Line | 151 E 62ND ST STE 1A
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City | NEW YORK
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State | NY
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Zip | 10065-7620
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Country | US
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Telephone | 212-288-8832
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Fax | 646-924-0579
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ELENA FRID
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Credential | M.D.
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Telephone | 212-288-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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