| Dan Feldman Rd LLC | |
|
68 Barnes St Long Beach NY 11561-2615 | |
| (516) 376-3343 | |
| Not Available |
| Full Name | Dan Feldman Rd LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 68 Barnes St, Long Beach, New York |
| Authorized Official Name and Position | Daniel Feldman (OWNER) |
| Authorized Official Contact | 5163763343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Feldman Rd LLC 68 Barnes St Long Beach NY 11561-2615 Ph: (516) 376-3343 | Dan Feldman Rd LLC 68 Barnes St Long Beach NY 11561-2615 Ph: (516) 376-3343 |
| NPI Number | 1336787357 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Medicare PECOS PAC ID | 2163893611 |
|---|---|
| Medicare Enrollment ID | O20230120001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336787357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
| Provider Name | Daniel Feldman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558909291 PECOS PAC ID: 5193154839 Enrollment ID: I20230120002101 |
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