Provider Demographics
NPI:1164723862
Name:FELDMAN, ANN D (BS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:D
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:BS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 ARLINGTON AVE APT 2U
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1404
Mailing Address - Country:US
Mailing Address - Phone:718-796-6540
Mailing Address - Fax:
Practice Address - Street 1:5800 ARLINGTON AVE APT 2U
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1404
Practice Address - Country:US
Practice Address - Phone:718-796-6540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005904225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist