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Individual
MICHAEL JEROME FEENEY
Active
Individual
MICHAEL JEROME FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004964
NY
363A00000X
Physician Assistant
Primary
25MP00438800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01531548
—
NY
Enumeration date
11/29/2005
Last updated
04/22/2022
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