Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | #4147 | NY |
Y | 102L00000X | Psychologist | #5597 | NY |
Y | 103T00000X | Psychologist | #5597 | NY |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities |
NPI | 1447245428 |
---|---|
Provider Name | Dr. Jeffrey M Feinman |
First Address | Fishkill, NY 12524-0504 |
Second Address | Wappingers Falls, NY 12590-4932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 05/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01623216 | (05) | NY |