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NPI Code Detail

MEDICARE: FELDMAN MEDICAL, PLLC

MEDICARE: FELDMAN MEDICAL, PLLC
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
1103TB0200XCognitive & Behavioral Psychologist
2103TC1900XCounseling Psychologist
32084P0800XPsychiatry Physician
4363LP2300XPrimary Care Nurse Practitioner
5208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1932777620
Entity Type Code : Organization
Provider Name (Legal Business Name) : FELDMAN MEDICAL, PLLC
Provider Business Mailing Address
First Line : 228 PARK AVE S
Second Line : PMB 42634
City : NEW YORK
State : NY
Zip : 10003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 HUDSON YARDS
Second Line :
City : NEW YORK
State : NY
Zip : 10001-2163
Country : US
Telephone Number : 866-987-5733
Fax Number :
Authorized Official
Title or Position : CEO AND CHIEF MEDICAL OFFICER
Name : THEODORE FELDMAN
Credential : MD
Telephone Number : 305-773-7321
Provider Enumeration Date : 06/17/2021
Last Update Date : 06/17/2021

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