MEDICARE: DR. MICHAEL I. FEINBERG 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	1223E0200X	Endodontics	031843	NY

General Provider Information

NPI Number	:	1881788982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL I. FEINBERG DDS

Provider Business Mailing Address
First Line	:	1718 E 17TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2102
Country	:	US
Telephone Number	:	718-627-5090
Fax Number	:	718-645-9217

Provider Business Practice Location Address
First Line	:	1718 E 17TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2102
Country	:	US
Telephone Number	:	718-627-5090
Fax Number	:	718-645-9217

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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