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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760556971 | NPPES |
Other | 0730213 | US HEALTH CARE | |
Other | 4918523007 | US HEALTH CARE | |
Other | P992519 | US HEALTH CARE |
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