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NPI Code Detail

MEDICARE: DR. JULIE FELDMAN AU.D.

MEDICARE: DR. JULIE FELDMAN AU.D.
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
1231H00000XAudiologist00729NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100729OTHERNYSTATE LICENSE

General Provider Information

NPI Number : 1376546838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE FELDMAN AU.D.
Provider Business Mailing Address
First Line : 6 STEWART PL
Second Line :
City : SPRING VALLEY
State : NY
Zip : 10977-2334
Country : US
Telephone Number : 845-425-6162
Fax Number :
Provider Business Practice Location Address
First Line : 670 STONELEIGH AVE
Second Line : BLDG 665, STE 205
City : CARMEL
State : NY
Zip : 10512-3997
Country : US
Telephone Number : 845-279-9500
Fax Number : 845-279-9266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 01/05/2009

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