Provider Demographics
NPI:1376546838
Name:FELDMAN, JULIE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 STEWART PL
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2334
Mailing Address - Country:US
Mailing Address - Phone:845-425-6162
Mailing Address - Fax:
Practice Address - Street 1:670 STONELEIGH AVE
Practice Address - Street 2:BLDG 665, STE 205
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3997
Practice Address - Country:US
Practice Address - Phone:845-279-9500
Practice Address - Fax:845-279-9266
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00729231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00729OtherSTATE LICENSE
M99351Medicare UPIN
NY00729OtherSTATE LICENSE