Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 264076 | MA |
N | 111NI0900X | Internist | 264076 | MA |
Y | 207RH0000X | Hematologist | 293913 | NY |
NPI | 1184004806 |
---|---|
Provider Name | Jonathan Ari Feld |
First Address | New York, NY 10017-5699 |
Second Address | New York, NY 10029-6030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2015 |
Last Update Date | 08/06/2021 |