Individual
DR. WALTER B FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
150 ISLIP AVE, SUITE 3, ISLIP, NY 11751-3222
(631) 581-6565
(631) 581-6574
Mailing address
150 ISLIP AVE, SUITE 3, ISLIP, NY 11751-3222
(631) 581-6565
(631) 581-6574
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
030660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00431012
—
NY
Enumeration date
02/05/2007
Last updated
07/08/2007
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