Organization
AUGUST A. FEOLA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUST A. FEOLA M.D. (PRESIDENT)
(718) 531-5111
Entity
Organization
Contact information
Practice address
763 E 83RD ST, BROOKLYN, NY 11236-3541
(718) 531-5111
(718) 531-5070
Mailing address
763 E 83RD ST, BROOKLYN, NY 11236-3541
(718) 531-5111
(718) 531-5070
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
164613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00995446
—
NY
Enumeration date
04/28/2011
Last updated
05/17/2011
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