Individual provider · Type 1 NPI

Ilya Frid

Student in an Organized Health Care Education/Training Program · Valhalla, NY

NPI number 1194304725 Active

Practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

426 Mulberry St Apt 308
Scranton, PA 18503-1510

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1194304725

Ilya Frid's National Provider Identifier is 1194304725, issued on Apr 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Valhalla, NY. The record was last updated on Apr 2, 2021.