Healthcare Provider Details

I. General information

NPI: 1790023042
Provider Name (Legal Business Name): DAVID MICHAEL FEUER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2013
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W. 9TH ST. 5C
NEW YORK NY
10011
US

IV. Provider business mailing address

30 W 9TH ST 5C
NEW YORK NY
10011-8917
US

V. Phone/Fax

Practice location:
  • Phone: 516-769-0156
  • Fax: 212-228-4664
Mailing address:
  • Phone: 516-769-0156
  • Fax: 212-228-3772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number130362-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: