Organization
FREED, SCHERZ, KLEINBERG, NUSSBAUM & FESTA, MD, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN SCHADE ETC (MANAGER)
(631) 588-7973
Entity
Organization
Contact information
Practice address
270 UNION AVE, HOLBROOK, NY 11741-1823
(631) 588-7973
(631) 471-3039
Mailing address
1270 EAST MAIN STREET, RIVERHEAD, NY 11901
(631) 727-8080
(631) 727-6803
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
125799-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00306170
—
NY
05
—
00656762
—
NY
05
—
00657209
—
NY
05
—
00765857
—
NY
05
—
01281718
—
NY
05
—
02256857
—
NY
05
—
02559680
—
NY
05
—
02971039
—
NY
05
—
7B3721
—
NY
Enumeration date
07/09/2008
Last updated
07/09/2008
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