Provider Demographics
NPI:1235448655
Name:FELDMAN, RANDI SALZMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDI
Middle Name:SALZMAN
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CREEMER RD
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2403
Mailing Address - Country:US
Mailing Address - Phone:914-273-1491
Mailing Address - Fax:914-273-8570
Practice Address - Street 1:23 CREEMER RD
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2403
Practice Address - Country:US
Practice Address - Phone:914-273-1491
Practice Address - Fax:914-273-8570
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174568208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics