| Doctor Name: | MRS. REBECCA ANN FRIED |
| NPI Number: | 1144680398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F339699-1 |
| Business Practice Address: | 3078 Route 9w Suite 100 New Windsor, NY - 125536751 |
| Business Phone Number: | 8455627878 |
| Business Fax Number: | 8455618728 |
| Mailing Address: | 3078 Route 9w, Suite 100 NEW WINDSOR |
| State: | NY |
| Postal Code: | 125536751 |
| Phone Number: | 8455627878 |
| Fax Number: | 8455618728 |
| NPI Enumeration Date: | 03/01/2016 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F339699-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |