Provider Demographics
NPI:1023367158
Name:CRAIG FEUERMAN MD PC
Entity Type:Organization
Organization Name:CRAIG FEUERMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:FEUERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-848-3255
Mailing Address - Street 1:333 E 46TH ST
Mailing Address - Street 2:8H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-7401
Mailing Address - Country:US
Mailing Address - Phone:917-848-3255
Mailing Address - Fax:212-837-2777
Practice Address - Street 1:333 E 46TH ST
Practice Address - Street 2:8H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-7401
Practice Address - Country:US
Practice Address - Phone:917-848-3255
Practice Address - Fax:212-837-2777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2355982081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty