Provider Demographics
NPI:1033123930
Name:BENINCASA-FEINGOLD, GIUSEPPINA (MD)
Entity Type:Individual
Prefix:MRS
First Name:GIUSEPPINA
Middle Name:
Last Name:BENINCASA-FEINGOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 INDIAN ROCK
Mailing Address - Street 2:ROUTE 59
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-4907
Mailing Address - Country:US
Mailing Address - Phone:845-357-5437
Mailing Address - Fax:845-357-5437
Practice Address - Street 1:27 INDIAN ROCK
Practice Address - Street 2:ROUTE 59
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4907
Practice Address - Country:US
Practice Address - Phone:845-357-5437
Practice Address - Fax:845-357-5437
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182780-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01621952Medicaid
NY89K681Medicare ID - Type Unspecified
NY01621952Medicaid