Provider Demographics
NPI:1962606772
Name:FRIED, JOANNA L (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:L
Last Name:FRIED
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:198 E 121ST ST
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-3523
Mailing Address - Country:US
Mailing Address - Phone:917-575-9057
Mailing Address - Fax:646-335-0662
Practice Address - Street 1:198 E 121ST ST, 5TH FLOOR
Practice Address - Street 2:JANIAN MEDICAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3523
Practice Address - Country:US
Practice Address - Phone:917-575-9057
Practice Address - Fax:646-335-0662
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2015-03-19
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Provider Licenses
StateLicense IDTaxonomies
NY2417772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry