MEDICARE: DR. STUART FEINTUCH DDS

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	1223G0001X	General Practice Dentistry	032658	NY

General Provider Information

NPI Number	:	1871513598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART FEINTUCH DDS

Provider Business Mailing Address
First Line	:	140 COOPER DR
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11023-1900
Country	:	US
Telephone Number	:	516-829-9265
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4910
Country	:	US
Telephone Number	:	718-833-6100
Fax Number	:

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/08/2007

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