Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N006747 | NY |
NPI | 1316280282 |
---|---|
Provider Name | Dr. D J Fellner |
First Address | New York, NY 10036-4902 |
Second Address | New York, NY 10036-4902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 06/02/2017 |