Individual
STEPHEN FEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E 71ST ST FL 1, NEW YORK, NY 10021-4828
(212) 606-1894
(212) 774-7651
Mailing address
535 EAST 70TH STREET, NEW YORK, NY 10021
(212) 606-1894
(212) 774-7651
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
206284-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
408G81
MEDICARE ID
NY
Enumeration date
07/26/2006
Last updated
03/25/2021
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