Individual
JONATHAN AMIR FEISTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 E 9TH ST, NEW YORK, NY 10003-5944
(212) 203-0999
(212) 202-4884
Mailing address
20 E 9TH ST, NEW YORK, NY 10003-5944
(212) 203-0999
(212) 202-4884
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
240088
NY
207W00000X
Ophthalmology Physician
7604451-1205
UT
207W00000X
Ophthalmology Physician
ME93051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004482200
—
FL
01
—
240088
LICENCE
NY
01
—
7604451-1205
STATE LICENSE
UT
Enumeration date
10/18/2006
Last updated
09/13/2013
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