Healthcare Provider Details

I. General information

NPI: 1265999130
Provider Name (Legal Business Name): LEAH FEIERMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2019
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 BEACH 12TH ST
FAR ROCKAWAY NY
11691-5503
US

IV. Provider business mailing address

361 BEACH 12TH ST
FAR ROCKAWAY NY
11691-5503
US

V. Phone/Fax

Practice location:
  • Phone: 718-734-7250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357543
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number760906
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: