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NPI Code Detail

MEDICARE: DR. JOANNA L FRIED MD

MEDICARE:  DR. JOANNA L FRIED  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
12084P0800XPsychiatry Physician241777NY

General Provider Information

NPI Number : 1962606772
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNA L FRIED MD
Provider Business Mailing Address
First Line : 198 E 121ST ST
Second Line : 5TH FLOOR
City : NEW YORK
State : NY
Zip : 10035-3523
Country : US
Telephone Number : 917-575-9057
Fax Number : 646-335-0662
Provider Business Practice Location Address
First Line : 198 E 121ST ST, 5TH FLOOR
Second Line : JANIAN MEDICAL
City : NEW YORK
State : NY
Zip : 10035-3523
Country : US
Telephone Number : 917-575-9057
Fax Number : 646-335-0662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 03/19/2015

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Directions to “ DR. JOANNA L FRIED MD” Practice Location

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