Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 046588 | CT |
N | 208600000X | Surgeon | 046588 | CT |
N | 2086S0102X | Surgical Critical Care | 046588 | CT |
Y | 2086S0127X | Trauma Surgeon | 046588 | CT |
NPI | 1184646978 |
---|---|
Provider Name | Dr. James M. Feeney |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Poughkeepsie, NY 12601-1154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
292027 | NYS LICENSE (01) | NY |