Healthcare Provider Details

I. General information

NPI: 1942277108
Provider Name (Legal Business Name): FEIGHANNE HATHAWAY MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 12/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE MSB 136
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

5841 S MARYLAND AVE # MC2115
CHICAGO IL
60637-1443
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-5746
  • Fax:
Mailing address:
  • Phone: 773-702-5163
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: