Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 153954 | NY |
NPI | 1013190321 |
---|---|
Provider Name | Thomas Lloyd Feigman |
First Address | Liverpool, NY 13088-3807 |
Second Address | Liverpool, NY 13088-3807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2007 |
Last Update Date | 15/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00838257 | (05) | NY |
1013190321 | (02) | NY |