Provider Demographics
NPI:1326079955
Name:FEUERMAN, CRAIG ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ROBERT
Last Name:FEUERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 W 27TH ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6906
Mailing Address - Country:US
Mailing Address - Phone:212-684-1500
Mailing Address - Fax:212-684-1505
Practice Address - Street 1:28 W 27TH ST
Practice Address - Street 2:SUITE 402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6906
Practice Address - Country:US
Practice Address - Phone:212-684-1500
Practice Address - Fax:212-684-1505
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYME96177174400000X
NY235598208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400077192OtherMEDICARE PTAN