MEDICARE: DR. EDWARD FEUER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	041165	NY

General Provider Information

NPI Number	:	1184766636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD FEUER DDS

Provider Business Mailing Address
First Line	:	97 HARRIS AVE
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-1309
Country	:	US
Telephone Number	:	516-569-8151
Fax Number	:

Provider Business Practice Location Address
First Line	:	499 WILLIAM FLOYD PKWY
Second Line	:
City	:	SHIRLEY
State	:	NY
Zip	:	11967-3416
Country	:	US
Telephone Number	:	631-281-1440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

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