Healthcare Provider Details

I. General information

NPI: 1508861394
Provider Name (Legal Business Name): HOWARD MARTIN FELDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 09/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

953 48TH STREET
BROOKLYN NY
11219
US

IV. Provider business mailing address

953 48TH ST
BROOKLYN NY
11219-2919
US

V. Phone/Fax

Practice location:
  • Phone: 718-436-6666
  • Fax:
Mailing address:
  • Phone: 718-436-6666
  • Fax: 718-435-5757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number127505
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: