Provider Demographics
NPI:1225378607
Name:FEINTUCH, MICHELLE ALYSSE (DDS)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ALYSSE
Last Name:FEINTUCH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:697 W END AVE
Mailing Address - Street 2:APT 4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6918
Mailing Address - Country:US
Mailing Address - Phone:516-241-6789
Mailing Address - Fax:
Practice Address - Street 1:697 W END AVE
Practice Address - Street 2:APT 4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6918
Practice Address - Country:US
Practice Address - Phone:516-241-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-22
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program