Individual
DR. FREDRIC FEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1474 OCEAN AVE, BROOKLYN, NY 11230-3860
(718) 618-0029
(718) 377-7474
Mailing address
2 TWIN LAKES DR, MANALAPAN, NJ 07726-8680
(732) 780-8648
(732) 308-9983
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
56174
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-281-2216
FEDERAL TAX ID#
NJ
01
—
148172
LIC#
NY
01
—
56174
LIC #
NJ
Enumeration date
03/30/2007
Last updated
03/07/2023
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