# FREED, SCHERZ, KLEINBERG, NUSSBAUM, FESTA, M.D. LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093812554
- **Authorized official:** DR. JAY FREES MD (DOCTOR)
- **Authorized official phone:** (631) 588-4442

## Contact information

- **Practice address:** 6144 ROUTE 25A, SUITE 23 & 24, BUILDING D, WADING RIVER, NY 11792
- **Practice address phone:** (631) 929-0400
- **Practice address fax:** (631) 929-3382
- **Mailing address:** 6144 ROUTE 25A, SUITE 23 & 24, BUILDING D, WADING RIVER, NY 11792
- **Mailing address phone:** (631) 929-0400
- **Mailing address fax:** (631) 929-3382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 08/22/2020