Healthcare Provider Details

I. General information

NPI: 1417152455
Provider Name (Legal Business Name): MORRIS ELIEZER FEINBERG DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: M FEINBERG DMD PC

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 W BAY PLZ
PLATTSBURGH NY
12901-1787
US

IV. Provider business mailing address

304 W BAY PLZ
PLATTSBURGH NY
12901-1787
US

V. Phone/Fax

Practice location:
  • Phone: 518-825-0025
  • Fax: 518-825-0029
Mailing address:
  • Phone: 518-825-0025
  • Fax: 518-825-0029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number045345-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: