MEDICARE: ROBERT P FELDMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	198381	NY

General Provider Information

NPI Number	:	1083635775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT P FELDMAN MD

Provider Business Mailing Address
First Line	:	218 RONALD REAGAN BLVD
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-4107
Country	:	US
Telephone Number	:	845-986-7830
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 RONALD REAGAN BLVD
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-4107
Country	:	US
Telephone Number	:	845-986-7830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/08/2007

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