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General NPI Number Information
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NPI Number | 1508099870
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Entity Type | Organization
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Legal Business Name | MARINA J. FEYGIN MEDICAL P.C.
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Dates
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Enumeration Date | 09/02/2009
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Last Update Date | 11/02/2011
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Provider Practice Location Address
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Address Line | 2815 OCEAN PKWY SUITE L1
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City | BROOKLYN
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State | NY
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Zip | 11235-7839
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Country | US
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Telephone | 718-891-3005
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Fax | 781-891-3007
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Provider Business Mailing Address
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Address Line | 2815 OCEAN PKWY SUITE L1
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City | BROOKLYN
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State | NY
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Zip | 11235-7839
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Country | US
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Telephone | 718-891-3005
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Fax | 781-891-3007
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Authorized Official
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Title or Position | PSYCHIATRY
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Name | MARINA J FEYGIN
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Credential | MD
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Telephone | 917-597-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 216924
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License Number State | NY
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