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General NPI Number Information
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NPI Number | 1740506567
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Entity Type | Organization
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Legal Business Name | JONATHAN A FEISTMANN MD PC
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 20 E 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-5944
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Country | US
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Telephone | 212-203-0999
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Fax | 212-202-4884
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Provider Business Mailing Address
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Address Line | 20 E 9TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-5944
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Country | US
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Telephone | 212-203-0999
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Fax | 212-202-4884
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN A FEISTMANN
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Credential | M.D.
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Telephone | 917-587-7672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 240088
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License Number State | NY
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