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1306885439 NPI number — STEVEN JAY FELDSTEIN M.D.

NPI Number: 1306885439
Health Care Provider/Practitioner: STEVEN JAY FELDSTEIN M.D.

Information about “1306885439” NPI (STEVEN JAY FELDSTEIN M.D.) exists in 1306885439 in HTML format HTML  |  1306885439 in plain Text format TXT  |  1306885439 in PDF (Portable Document Format) PDF  |  1306885439 in an XML format XML  formats.

NPI Number : 1306885439 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306885439",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FELDSTEIN",
    "FirstName": "STEVEN",
    "MiddleName": "JAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "67 REYNOLDS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LIDO BEACH",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11561-4927",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-996-7483",
    "MailingAddressFaxNumber": "718-545-5052",
    "FirstLinePracticeLocationAddress": "4604 31ST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONG ISLAND CITY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11103-1842",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-545-5050",
    "PracticeLocationAddressFaxNumber": "718-545-5052",
    "EnumerationDate": "06/05/2006",
    "LastUpdateDate": "05/17/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "65944",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "164987",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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