Provider Demographics
NPI:1205125036
Name:ELENA FRID MD PC
Entity type:Organization
Organization Name:ELENA FRID MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-288-8832
Mailing Address - Street 1:151 E 62ND ST
Mailing Address - Street 2:STE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7620
Mailing Address - Country:US
Mailing Address - Phone:212-288-8832
Mailing Address - Fax:646-924-0579
Practice Address - Street 1:151 E 62ND ST
Practice Address - Street 2:STE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7620
Practice Address - Country:US
Practice Address - Phone:212-288-8832
Practice Address - Fax:646-924-0579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty