Healthcare Provider Details

I. General information

NPI: 1194704627
Provider Name (Legal Business Name): DORON FELDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 BRYANT ST. WOMEN & CHILDREN'S HOSPITAL OF BUFFALO
BUFFALO NY
14222-2006
US

IV. Provider business mailing address

219 BRYANT ST CGF ANESTHESIA ASSOCIATES PC
BUFFALO NY
14222-2006
US

V. Phone/Fax

Practice location:
  • Phone: 716-878-7701
  • Fax: 716-878-7316
Mailing address:
  • Phone: 716-878-7444
  • Fax: 716-878-7316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD050938L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number1916121
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: