Provider Demographics
NPI:1245748664
Name:FEINZEIG, SARA DINA (PA-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:DINA
Last Name:FEINZEIG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1383 E 16TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6042
Mailing Address - Country:US
Mailing Address - Phone:718-336-5814
Mailing Address - Fax:
Practice Address - Street 1:1383 E 16TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6042
Practice Address - Country:US
Practice Address - Phone:718-336-5814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant