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Individual

LISA GRUEN FEINGOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, AGPCNP-BC

Contact information

Practice address
525 E 68TH ST, BAKER 14, NEW YORK, NY 10065-4870
(212) 746-9291
Mailing address
525 E 68TH ST, BAKER 14, NEW YORK, NY 10065-4870
(212) 746-9291

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307136
NY

Other

Enumeration date
11/05/2014
Last updated
11/05/2014
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