Individual
SYDELE ELLA FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1911 FIFTH STREET, SUITE 205, SANTA FE, NM 87505
(505) 995-8851
Mailing address
1911 FIFTH STREET, SUITE 205, SANTA FE, NM 87505
(505) 995-8851
(505) 995-8658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NM1341
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001002991
PRESBYTERIAN HEALTH PLAN
—
01
—
NM00KL53
BLUE CROSS BLUE SHIELD OF
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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