Provider Demographics
NPI:1235264011
Name:FELDERMAN, LENORA I (MD)
Entity Type:Individual
Prefix:DR
First Name:LENORA
Middle Name:I
Last Name:FELDERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:74 E 79TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0264
Mailing Address - Country:US
Mailing Address - Phone:212-734-0091
Mailing Address - Fax:212-861-8456
Practice Address - Street 1:1317 THIRD AVE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-734-0091
Practice Address - Fax:212-861-8456
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115920-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A63213Medicare UPIN