Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 016139 | NY |
NPI | 1053584706 |
---|---|
Provider Name | Dr. Amy J Feldman |
First Address | New York, NY 11753 |
Second Address | Mineola, NY 11501-2660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2008 |
Last Update Date | 02/04/2008 |