Provider Demographics
NPI:1245238799
Name:PIASER, FRED JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:JEFFREY
Last Name:PIASER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2147 VALENTINES RD
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5848
Mailing Address - Country:US
Mailing Address - Phone:516-997-2266
Mailing Address - Fax:516-997-3068
Practice Address - Street 1:2147 VALENTINES RD
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5848
Practice Address - Country:US
Practice Address - Phone:516-997-2266
Practice Address - Fax:516-997-3068
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY132401208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics