Healthcare Provider Details

I. General information

NPI: 1144436957
Provider Name (Legal Business Name): AUSTIN WILLIAM FEENEY D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W 77TH ST
NEW YORK NY
10024-6606
US

IV. Provider business mailing address

201 W 77TH ST
NEW YORK NY
10024-6606
US

V. Phone/Fax

Practice location:
  • Phone: 203-984-3858
  • Fax:
Mailing address:
  • Phone: 203-984-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number007400
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number065358
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: