Individual
JASON FELDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1523 212TH ST UNIT 200, BAYSIDE, NY 11360-1109
(516) 382-7558
Mailing address
1523 212TH ST UNIT 200, BAYSIDE, NY 11360-1109
(516) 382-7558
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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