Provider Demographics
NPI:1871951830
Name:FRIED, LEAH ADINA (MS, LCGC)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:ADINA
Last Name:FRIED
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:ADINA
Other - Last Name:BITTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LCGC
Mailing Address - Street 1:11 GETTY AVE
Mailing Address - Street 2:2ND FLOOR- DIVISION OF GENETICS
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-3512
Mailing Address - Country:US
Mailing Address - Phone:973-754-2728
Mailing Address - Fax:
Practice Address - Street 1:11 GETTY AVE
Practice Address - Street 2:2ND FLOOR- DIVISION OF GENETICS
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-3512
Practice Address - Country:US
Practice Address - Phone:973-754-2728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00003500170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS