MEDICARE: DIANNE B FEUERSTEIN NP

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	163WN0300X	Nephrology Registered Nurse	F334221	NY
2	363LF0000X	Family Nurse Practitioner	F334221	NY

General Provider Information

NPI Number	:	1376636191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNE B FEUERSTEIN NP

Provider Business Mailing Address
First Line	:	4 CRANFORD DR
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-5407
Country	:	US
Telephone Number	:	845-664-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 CRANFORD DR
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-5407
Country	:	US
Telephone Number	:	845-664-4300
Fax Number	:

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	01/10/2023

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