Fried, Gregory

Fried, Gregory is an individual health care provider with primary practice located at 2 Effron Pl , Great Neck NY 11020-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fried, Gregory can be contacted via phone (917) 428-9969.

Contact Information

Primary practice address
2 Effron Pl Great Neck NY 11020-1412
Fax: (516) 829-4711
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD 116937 New York

Profile Details

NPI number 1144203415
LBN Legal business name Fried, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144203415 NPPES
New York MEDICAID 00216413

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