Individual
ANNIE F FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26 BLEECKER ST, NEW YORK, NY 10012-2413
(212) 274-7250
Mailing address
26 BLEECKER ST, NEW YORK, NY 10012-2413
(212) 274-7250
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
420877
NY
364SA2200X
Adult Health Clinical Nurse Specialist
304825
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03382285
—
NY
Enumeration date
04/10/2008
Last updated
02/17/2012
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