Healthcare Provider Details

I. General information

NPI: 1255412672
Provider Name (Legal Business Name): AMY FELDMAN ARTHUR PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 MERRICK RD
ROCKVILLE CENTRE NY
11570-5487
US

IV. Provider business mailing address

556 MERRICK RD
ROCKVILLE CENTRE NY
11570-5487
US

V. Phone/Fax

Practice location:
  • Phone: 516-255-2044
  • Fax: 516-255-2045
Mailing address:
  • Phone: 516-255-2044
  • Fax: 516-255-2045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number005601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: