Provider Demographics
NPI:1235290610
Name:FELDMAN, MARIK H (PT)
Entity Type:Individual
Prefix:MR
First Name:MARIK
Middle Name:H
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 SOUNDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-3419
Mailing Address - Country:US
Mailing Address - Phone:914-289-0137
Mailing Address - Fax:914-289-0138
Practice Address - Street 1:76 S LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-2544
Practice Address - Country:US
Practice Address - Phone:914-422-9787
Practice Address - Fax:914-422-9786
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012651225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist