Individual
DR. AUGUST ANTHONY FEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
763 E 83RD ST, BROOKLYN, NY 11236-3541
(718) 531-5111
(718) 531-5070
Mailing address
763 E 83RD ST, BROOKLYN, NY 11236-3541
(718) 531-5111
(718) 531-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
164613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000293
GHI
—
05
—
00995446
—
NY
01
—
62D801
BC/BS
NY
01
—
P547110
OXFORD
NY
Enumeration date
11/25/2005
Last updated
06/05/2024
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