Provider Demographics
NPI:1275788226
Name:FRIED & KOHLER INC.
Entity Type:Organization
Organization Name:FRIED & KOHLER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PROSPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-579-0914
Mailing Address - Street 1:27 W 69TH STREET
Mailing Address - Street 2:APT A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-579-0914
Mailing Address - Fax:212-579-0914
Practice Address - Street 1:27 W 69TH STREET
Practice Address - Street 2:APT A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-579-0914
Practice Address - Fax:212-579-0914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00342443Medicaid
NY0215790001Medicare PIN
0215790001Medicare PIN