Individual
DMITRY FELDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-5756
Mailing address
560 W 168TH ST, NEW YORK, NY 10032-3917
(212) 305-5756
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
604239
NY
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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