Healthcare Provider Details

I. General information

NPI: 1578402343
Provider Name (Legal Business Name): ANNELIESE FEIGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 N BROADWAY STE 305
YONKERS NY
10701-1308
US

IV. Provider business mailing address

4360 DOUGLASTON PKWY APT 401
DOUGLASTON NY
11363-1814
US

V. Phone/Fax

Practice location:
  • Phone: 914-237-4377
  • Fax:
Mailing address:
  • Phone: 917-864-3801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF312478
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: