Healthcare Provider Details

I. General information

NPI: 1912063132
Provider Name (Legal Business Name): MICHAEL AARON FEINBERG MA PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 PLYMOUTH RD
PLAINVIEW NY
11803-2721
US

IV. Provider business mailing address

80 PLYMOUTH RD
PLAINVIEW NY
11803-2721
US

V. Phone/Fax

Practice location:
  • Phone: 516-942-7497
  • Fax: 516-933-8676
Mailing address:
  • Phone: 516-942-7497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number015435-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: