=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942501028
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MARTIN M FEUER MD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2010
-----------------------------------------------------
Last Update Date | 11/05/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 899 LEXINGTON AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10065-6103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-744-5433
-----------------------------------------------------
Fax | 212-472-8674
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 899 LEXINGTON AVE
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10065-6103
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-744-5433
-----------------------------------------------------
Fax | 212-472-8674
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRES.
-----------------------------------------------------
Name | DR. MARTIN M FEUER
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 212-744-5433
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | 084216
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------