Healthcare Provider Details

I. General information

NPI: 1841580008
Provider Name (Legal Business Name): KENNETH JAMES FEINGOLD LP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2011
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 FORT GREENE PL
BROOKLYN NY
11217-3490
US

IV. Provider business mailing address

123 FORT GREENE PL
BROOKLYN NY
11217-3490
US

V. Phone/Fax

Practice location:
  • Phone: 917-251-6038
  • Fax: 866-491-8591
Mailing address:
  • Phone: 917-251-6038
  • Fax: 866-491-8591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number000865
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: