MEDICARE: MARINA J. FEYGIN MEDICAL P.C.

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	174400000X	Specialist	216924	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P2129711	OTHER		OXFORD

General Provider Information

NPI Number	:	1508099870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARINA J. FEYGIN MEDICAL P.C.

Provider Business Mailing Address
First Line	:	2815 OCEAN PKWY
Second Line	:	SUITE L1
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7839
Country	:	US
Telephone Number	:	718-891-3005
Fax Number	:	781-891-3007

Provider Business Practice Location Address
First Line	:	2815 OCEAN PKWY
Second Line	:	SUITE L1
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7839
Country	:	US
Telephone Number	:	718-891-3005
Fax Number	:	781-891-3007

Authorized Official
Title or Position	:	PSYCHIATRY
Name	:	MARINA J FEYGIN
Credential	:	MD
Telephone Number	:	917-597-2206

Provider Enumeration Date	:	09/02/2009
Last Update Date	:	11/02/2011

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