Individual
FREDERICK J FEUERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 E 61ST ST, 6TH FLOOR, NEW YORK, NY 10065-8795
(212) 752-2000
(212) 752-5822
Mailing address
425 E 61ST ST, 6TH FLOOR, NEW YORK, NY 10065-8795
(212) 752-2000
(212) 752-5822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
197692
NY
207RC0000X
Cardiovascular Disease Physician
Primary
197692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070499
UNITED HEALTHCARE
—
01
—
5503052
GHI
—
01
—
N47392
HEALTH NET
—
01
—
P1294371
OXFORD
—
Enumeration date
10/10/2005
Last updated
03/19/2008
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