Provider Demographics
NPI:1437240371
Name:FELDMAN, DONALD (DPM)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2908
Mailing Address - Country:US
Mailing Address - Phone:914-737-2964
Mailing Address - Fax:914-737-0563
Practice Address - Street 1:1124 MAIN ST
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2908
Practice Address - Country:US
Practice Address - Phone:914-737-2964
Practice Address - Fax:914-737-0563
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004083213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY09966909Medicaid
NYT51335Medicare UPIN
NY09966909Medicaid