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Dr. Jordan Wesley Fried, MD
Student in an Organized Health Care Education/Training Program in New Hyde Park, New York
NPI 1730766916

Jordan Wesley Fried is a Student in an Organized Health Care Education/Training Program based in New Hyde Park, NY. Jordan Wesley Fried practices in New Hyde Park, NY and has the professional credentials of MD. The NPI Number for Jordan Wesley Fried is 1730766916 and holds a License No. (New York).

The current practice location address for Jordan Wesley Fried is 27005 76Th Ave Bldg C, New Hyde Park, NY and can be reached out via phone at 718-470-4475 and via fax at 718-962-2239.

Location: 27005 76Th Ave Bldg C, New Hyde Park, NY, 11040-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730766916
Provider Name
Jordan Wesley Fried
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
27005 76Th Ave Bldg C, New Hyde Park, NY, 11040-1402
Phone Number
718-470-4475
Fax Number
718-962-2239
Provider Enumeration Date
03/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27005 76Th Ave Bldg C
City
New Hyde Park
State
New York
Zip
11040-1402
Phone Number
718-470-4475
Fax Number
718-962-2239
person
Provider Business Mailing Address Details
Address
27005 76Th Ave Bldg C
City
New Hyde Park
State
New York
Zip
11040-1402
Phone Number
718-470-4475
Fax Number
718-962-2239
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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