Philip Fried, MD
Dermatologist in White Plains, NY
Registered providerLicense # listed (NY)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 20 Old Mamaroneck Rd, White Plains, NY 10605
- Phone
- (914) 949-6070
- Listed under
- Individual clinicians
- NPI
- 1487654596
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Dermatology (207N00000X)
- Credentials listed
- MD
- License number on NPI record
- 160340 (NY)
- NPI first issued
- Jul 29, 2005
- Years since NPI first issued
- 21 years (since 2005)
- License state on NPI record
- NY
- NPI record last updated
- Oct 30, 2019
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 1983 (43 years ago)
- Professional school (CMS)
- State University of New York Downstate Medical Center
- Medicare group practice (CMS)
- Philip Fried MD PLLC (3 clinicians)
- Practice locations on file with Medicare (CMS)
- 2
- Other dermatology listings at this street address
- 1
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What these registry facts mean
Practices and clinicians at this address
- Philip Fried MD PLLC (practice/organization)