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NPI Code Detail

MEDICARE: FELDMAN MEDICAL P.C.

MEDICARE: FELDMAN 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
1207Q00000XFamily Medicine Physician123637NY
2207R00000XInternal Medicine Physician123637NY

Other Identifiers

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

General Provider Information

NPI Number : 1780617993
Entity Type Code : Organization
Provider Name (Legal Business Name) : FELDMAN MEDICAL P.C.
Provider Business Mailing Address
First Line : 4290 BROADWAY
Second Line : SUITE 2S
City : NEW YORK
State : NY
Zip : 10033-3732
Country : US
Telephone Number : 212-781-5075
Fax Number : 212-781-4823
Provider Business Practice Location Address
First Line : 2814 CLARENDON RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-6318
Country : US
Telephone Number : 718-469-7363
Fax Number : 718-469-7551
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ERNESTO M LOPEZ
Credential : M.D.
Telephone Number : 212-781-5075
Provider Enumeration Date : 07/09/2006
Last Update Date : 02/15/2011

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Directions to “FELDMAN MEDICAL P.C. ” Practice Location

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