Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 006422 | NY |
N | 2081S0010X | Sports Medicine | 006422 | NY |
N | 213ES0000X | Sports Medicine | 006422 | NY |
N | 213ES0103X | Foot & Ankle Surgery | 006422 | NY |
NPI | 1366737850 |
---|---|
Provider Name | Dr. Erik Feigen |
First Address | New York, NY 10128-5515 |
Second Address | Brooklyn, NY 11203-1822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 14/10/2016 |