Individual
BREANNA LEE FELLDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3265
(315) 464-3282
Mailing address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3265
(315) 464-3282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
331782
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
331782
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
06/24/2025
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