Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OTO13187 | PA |
N | 111NI0900X | Internist | OTO13187 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 282955 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 282955 | NY |
NPI | 1770815540 |
---|---|
Provider Name | Scott Feitell |
First Address | Rochester, NY 14621-3038 |
Second Address | Rochester, NY 14621-3038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2010 |
Last Update Date | 05/10/2018 |