MEDICARE: DEBRA B FEINBERG BS, JD

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	183500000X	Pharmacist	33954	NY

General Provider Information

NPI Number	:	1770869109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA B FEINBERG BS, JD

Provider Business Mailing Address
First Line	:	26 OLDOX RD
Second Line	:
City	:	DELMAR
State	:	NY
Zip	:	12054-2943
Country	:	US
Telephone Number	:	518-456-8819
Fax Number	:	518-456-9319

Provider Business Practice Location Address
First Line	:	2 PINE WEST PLZ
Second Line	:	WASHINGTON AVENUE EXTENSION
City	:	ALBANY
State	:	NY
Zip	:	12205-5532
Country	:	US
Telephone Number	:	518-456-8819
Fax Number	:	518-456-9319

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

Provider Enumeration Date	:	10/31/2011
Last Update Date	:	10/31/2011

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