Provider Demographics
NPI:1275622573
Name:FEINER, DEBORAH G (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:G
Last Name:FEINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:136 JAVA ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-1603
Mailing Address - Country:US
Mailing Address - Phone:718-405-8040
Mailing Address - Fax:718-405-8060
Practice Address - Street 1:MMG - CFCC
Practice Address - Street 2:1621 EASTCHESTER ROAD
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8040
Practice Address - Fax:718-405-8060
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI14616Medicare UPIN