Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 118762 | NY |
NPI | 1215009410 |
---|---|
Provider Name | Dr. Donald B Feinsod |
First Address | Hewlett, NY 11557 |
Second Address | Hewlett, NY 11557 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00221765 | (05) | NY |
B17320 | (02) |