Healthcare Provider Details

I. General information

NPI: 1184751992
Provider Name (Legal Business Name): DAVID S. FEINGOLD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 W 79TH ST
NEW YORK NY
10024-6224
US

IV. Provider business mailing address

19 LONGVIEW PL
GREAT NECK NY
11021-2508
US

V. Phone/Fax

Practice location:
  • Phone: 212-874-3929
  • Fax:
Mailing address:
  • Phone: 516-487-2283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number28267
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: