MEDICARE: ALFREDO FIAD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	202663	NY
2	2084P0802X	Addiction Psychiatry Physician	202663	NY
3	2084P0805X	Geriatric Psychiatry Physician	202663	NY

General Provider Information

NPI Number	:	1407896210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFREDO FIAD MD

Provider Business Mailing Address
First Line	:	16 E 41ST ST
Second Line	:	SUITE 4 A
City	:	NEW YORK
State	:	NY
Zip	:	10017-6217
Country	:	US
Telephone Number	:	212-779-4672
Fax Number	:	212-779-4672

Provider Business Practice Location Address
First Line	:	16 E 41ST ST
Second Line	:	SUITE 4 A
City	:	NEW YORK
State	:	NY
Zip	:	10017-6217
Country	:	US
Telephone Number	:	212-779-4672
Fax Number	:	212-779-4672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	09/11/2025

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