Provider Demographics
NPI:1063503324
Name:FEINBERG, BARRY LESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:LESTER
Last Name:FEINBERG
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 1:750 PARK AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4252
Mailing Address - Country:US
Mailing Address - Phone:212-535-8426
Mailing Address - Fax:212-570-4619
Practice Address - Street 1:750 PARK AVE
Practice Address - Street 2:SUITE C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4252
Practice Address - Country:US
Practice Address - Phone:212-535-8426
Practice Address - Fax:212-570-4619
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1070042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007517Medicaid
NY007517Medicaid
NYC12517Medicare UPIN