Individual
KENNETH H FELDHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 622-5000
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 622-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD431918
PA
208M00000X
Hospitalist Physician
Primary
254553
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102023660
—
PA
01
—
MEDICARE RAILROAD
PO0629769
PA
Enumeration date
07/02/2007
Last updated
08/17/2010
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