Feldman, Robert

Feldman, Robert is an individual health care provider with primary practice located at 4101 Medical Center Dr , Fayetteville NY 13066-6600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Feldman, Robert can be contacted via phone (315) 637-7878.

Contact Information

Primary practice address
4101 Medical Center Dr Fayetteville NY 13066-6600
Fax: (315) 637-7808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 189128 New York

Profile Details

NPI number 1508965484
LBN Legal business name Feldman, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Nov 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508965484 NPPES
New York Other J400005496 PTAN # NORTH MEDICAL, PC
New York MEDICAID 00355266 PTAN # NORTH MEDICAL, PC

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