Healthcare Provider Details

I. General information

NPI: 1174519276
Provider Name (Legal Business Name): LIFECARE MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 08/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1991 BALSLEY RD
SENECA FALLS NY
13148-9714
US

IV. Provider business mailing address

1991 BALSLEY RD
SENECA FALLS NY
13148-9714
US

V. Phone/Fax

Practice location:
  • Phone: 315-539-0237
  • Fax: 315-539-0940
Mailing address:
  • Phone: 315-539-0237
  • Fax: 315-539-0940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON S. FEINBERG
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 315-539-9229