Healthcare Provider Details

I. General information

NPI: 1497136568
Provider Name (Legal Business Name): DANIEL D. FELDMAN MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2015
Last Update Date: 06/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 5TH AVE SUITE 906
NEW YORK NY
10017-8007
US

IV. Provider business mailing address

535 5TH AVE SUITE 906
NEW YORK NY
10017-8007
US

V. Phone/Fax

Practice location:
  • Phone: 201-857-4011
  • Fax: 201-389-3498
Mailing address:
  • Phone: 201-857-4011
  • Fax: 201-389-3498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DANEIL D FELDMAN
Title or Position: OWNER
Credential: MD
Phone: 212-286-0888