MEDICARE: DR. JENNIFER ANNE FEENEY PHD

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	103TS0200X	School Psychologist	1246220181	NY

General Provider Information

NPI Number	:	1861976755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER ANNE FEENEY PHD

Provider Business Mailing Address
First Line	:	156 W 56TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-3800
Country	:	US
Telephone Number	:	212-662-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 W 56TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-3800
Country	:	US
Telephone Number	:	212-662-9200
Fax Number	:

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

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	09/18/2018

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