Freed, Scherz, Kleinberg, Nussbaum, Festa, M.D. LLP

Organization Active NPI Pediatric Adolescent Medicine Physician · Wading River, NY

NPI 1093812554 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1093812554
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Adolescent Medicine Physician 2080A0000X
Legal business name
FREED, SCHERZ, KLEINBERG, NUSSBAUM, FESTA, M.D. LLP
Practice address
6144 Route 25a
Suite 23 & 24, Building D
Wading River, NY 11792
Phone
(631) 929-0400
Fax
(631) 929-3382
NPI assigned
Sep 19, 2006
Organization subpart
No

Authorized official

Name
Dr. Jay Frees, MD
Title
Doctor
Phone
(631) 588-4442

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Freed Scherz Kleinberg Nussbaum Festa MD LLP (5 organizations share this tax ID)

Locations

6144 Route 25A
Ste 23
Wading River, NY 11792
Phone (631) 929-0400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2080A0000X Yes

Addresses

Primary practice location

6144 Route 25a
Suite 23 & 24, Building D
Wading River, NY 11792

Mailing address

6144 Route 25a
Suite 23 & 24, Building D
Wading River, NY 11792
Phone (631) 929-0400

Other providers in Wading River, NY

All providers in Wading River, NY · Pediatric Adolescent Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.