Individual
FREDERICK FEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 JERICHO TPKE, MINEOLA, NY 11501-1613
(516) 663-4480
(516) 663-2054
Mailing address
212 JERICHO TPKE, MINEOLA, NY 11501-1613
(516) 663-4480
(516) 663-2054
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
118064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00965540
—
NY
Enumeration date
09/22/2005
Last updated
03/29/2021
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