Healthcare Provider Details

I. General information

NPI: 1467037499
Provider Name (Legal Business Name): ALLISON HALEY FEIBUS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 MARGARET ST STE 100
PLATTSBURGH NY
12901-1874
US

IV. Provider business mailing address

135 EVERLY DR
CHATTANOOGA TN
37405-1830
US

V. Phone/Fax

Practice location:
  • Phone: 518-314-3939
  • Fax:
Mailing address:
  • Phone: 518-314-3939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberTRN334455
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number328266
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: