| Feldmed | |
|
755 New York Ave Ste 308 Huntington NY 11743-4240 | |
| (516) 588-8500 | |
| (888) 425-9273 |
| Full Name | Feldmed |
|---|---|
| Speciality | Internal Medicine |
| Location | 755 New York Ave Ste 308, Huntington, New York |
| Authorized Official Name and Position | Bruce Lawrence Feldman (MANAGING PHYSICIAN) |
| Authorized Official Contact | 5165888500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Feldmed 44 Chestnut Ln Woodbury NY 11797-1913 Ph: (516) 588-8500 | Feldmed 755 New York Ave Ste 308 Huntington NY 11743-4240 Ph: (516) 588-8500 |
| NPI Number | 1194070714 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Medicare PECOS PAC ID | 8325294119 |
|---|---|
| Medicare Enrollment ID | O20120810000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194070714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 213830 (New York) | Primary |
| Provider Name | Bruce Lawrence Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407886096 PECOS PAC ID: 9234385022 Enrollment ID: I20120810000106 |
| Provider Name | Stella Abayeva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124326467 PECOS PAC ID: 3476770900 Enrollment ID: I20140807000313 |
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