# MICHAEL FELDMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417459876
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | 25MP00459100 | NJ | — |
| 363AM0700X | Medical Physician Assistant | 0211611 | NY | — |
| 363AM0700X | Medical Physician Assistant | 25MP00459100 | NJ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 021611 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 25MP00459100 | NJ | Yes |

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 01/05/2024
