Organization
STEPHEN FEALYS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN FEALY MD (OWNER)
(212) 606-1894
Entity
Organization
Contact information
Practice address
523 E 72ND ST, NEW YORK, NY 10021-4099
(212) 606-1894
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1894
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
206284-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WKC311
MEDICARE OTHER
NY
Enumeration date
03/24/2008
Last updated
03/24/2008
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