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
Phone: (315) 637-7878
Fax: (315) 637-7808
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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