MEDICARE: MINDI EISENMESSER FELDMAN N.P.

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	363L00000X	Nurse Practitioner	F302886	NY

General Provider Information

NPI Number	:	1558580894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDI EISENMESSER FELDMAN N.P.

Provider Business Mailing Address
First Line	:	545 1ST AVE
Second Line	:	C122
City	:	NEW YORK
State	:	NY
Zip	:	10016-6401
Country	:	US
Telephone Number	:	212-263-5489
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 1ST AVE
Second Line	:	C122
City	:	NEW YORK
State	:	NY
Zip	:	10016-6401
Country	:	US
Telephone Number	:	212-263-5489
Fax Number	:

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

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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Directions to “ MINDI EISENMESSER FELDMAN N.P.” Practice Location

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