Fried, Maxine Helen

Fried, Maxine Helen is an individual health care provider with primary practice located at 17 Maple Drive , Great Neck NY 11021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fried, Maxine Helen can be contacted via phone (516) 487-1112.

Contact Information

Primary practice address
17 Maple Drive Great Neck NY 11021
Phone: (516) 487-1112
Fax: (516) 487-4700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 093502 New York

Profile Details

NPI number 1760556971
LBN Legal business name Fried, Maxine Helen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1760556971 NPPES
Other 0730213 US HEALTH CARE
Other 4918523007 US HEALTH CARE
Other P992519 US HEALTH CARE

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