MEDICARE: MARTIN M FEUER MD PC

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	261QP2300X	Primary Care Clinic/Center	084216	NY

General Provider Information

NPI Number	:	1942501028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN M FEUER MD PC

Provider Business Mailing Address
First Line	:	899 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6103
Country	:	US
Telephone Number	:	212-744-5433
Fax Number	:	212-472-8674

Provider Business Practice Location Address
First Line	:	899 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6103
Country	:	US
Telephone Number	:	212-744-5433
Fax Number	:	212-472-8674

Authorized Official
Title or Position	:	PRES.
Name	:	DR. MARTIN M FEUER
Credential	:	MD
Telephone Number	:	212-744-5433

Provider Enumeration Date	:	11/05/2010
Last Update Date	:	11/05/2010

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