MEDICARE: DR. MICHAEL STUART FEINBERG M.D.

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	202C00000X	Independent Medical Examiner Physician	096579	NY

General Provider Information

NPI Number	:	1952511776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STUART FEINBERG M.D.

Provider Business Mailing Address
First Line	:	104 ELMHURST PL
Second Line	:	D
City	:	BUFFALO
State	:	NY
Zip	:	14216-3106
Country	:	US
Telephone Number	:	716-881-5678
Fax Number	:	716-881-5678

Provider Business Practice Location Address
First Line	:	104 ELMHURST PL
Second Line	:	D
City	:	BUFFALO
State	:	NY
Zip	:	14216-3106
Country	:	US
Telephone Number	:	716-881-5678
Fax Number	:	716-881-5678

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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