Organization
FELDMAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATAVAN NASIROV (CLINIC MANAGER)
(212) 781-5075
Entity
Organization
Contact information
Practice address
4290 BROADWAY, SUITE 2-S, NEW YORK, NY 10033-3732
(212) 781-5075
Mailing address
4290 BROADWAY, SUITE 2-S, NEW YORK, NY 10033-3732
(212) 781-5075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
103155-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02531928
—
NY
Enumeration date
06/03/2006
Last updated
02/15/2011
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