Provider Demographics
NPI:1013190321
Name:FEIGMAN, THOMAS LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:LLOYD
Last Name:FEIGMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 W TAFT RD
Mailing Address - Street 2:SUITE 3G
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-3807
Mailing Address - Country:US
Mailing Address - Phone:315-452-2968
Mailing Address - Fax:315-452-2977
Practice Address - Street 1:5100 W TAFT RD
Practice Address - Street 2:SUITE 3G
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088-3807
Practice Address - Country:US
Practice Address - Phone:315-452-2968
Practice Address - Fax:315-452-2977
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153954207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00838257Medicaid
NY00838257Medicaid
NYJ400040758Medicare PIN
NYRB6787Medicare PIN