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NPI 1346631579

NPI 1346631579 : DR MARINA FELDMAN MD PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1346631579
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR MARINA FELDMAN MD PC 
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Dates
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    Enumeration Date     |    02/10/2015
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    Last Update Date     |    02/11/2020
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Provider Practice Location Address
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    Address Line         |    930 SAINT NICHOLAS AVE APT 57 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10032-5253
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    Country              |    US
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    Telephone            |    917-648-8325
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    350 W 55TH ST GR16
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019-5179
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    Country              |    US
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    Telephone            |    917-648-8325
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. MARINA  FELDMAN 
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    Credential           |    MD
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    Telephone            |    348-878-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP3300X
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    Taxonomy Name        |    Pain Clinic/Center
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    License Number       |    
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    License Number State |    
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