Individual
SAMANTHA BETH FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
232 WEST 80TH ST, NEW YORK, NY 10024
(646) 962-3020
Mailing address
232 WEST 80TH ST, NEW YORK, NY 10024
(646) 962-3020
(516) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
217287-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02103042
—
NY
Enumeration date
08/03/2005
Last updated
01/21/2021
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