Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DOUGLAS FREY, M.D.
ActiveDR. MARK DOUGLAS FREY, M.D. is a Otolaryngology healthcare provider located in CANTON, New York. NPI 1336116797 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · CANTON, NY
Registration Details
- NPI Number
- 1336116797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 3, 2006 (20.492845831141 yrs)
- Last Updated
- Sep 12, 2024
- Licenses
-
21783 (NE)330710 (NY)330710 (NY)
Practice Information
- Address
-
6119 US HIGHWAY 11CANTON, NY, 136173991Browse NY providers · Browse ZIP 13617
- Phone
- 3152615850
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Pediatric Otolaryngology
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.