Individual
FRED FEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 FRANKLIN AVE, VALLEY STREAM, NY 11580-2107
(516) 599-8280
(516) 599-8006
Mailing address
300 FRANKLIN AVE, VALLEY STREAM, NY 11580-2107
(516) 599-8280
(516) 599-8006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
204858
NY
207UN0901X
Nuclear Cardiology Physician
307230
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01883403
—
NY
Enumeration date
07/07/2005
Last updated
03/19/2025
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