Provider Demographics
NPI:1083058556
Name:FELDMAN, ALLEN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:ROBERT
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W END AVE
Mailing Address - Street 2:8B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5750
Mailing Address - Country:US
Mailing Address - Phone:212-769-4629
Mailing Address - Fax:212-769-4629
Practice Address - Street 1:400 W END AVE
Practice Address - Street 2:8B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5750
Practice Address - Country:US
Practice Address - Phone:212-769-4629
Practice Address - Fax:212-769-4629
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1515952083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine