Provider Demographics
NPI:1477798114
Name:M FEINBERG DMD PC
Entity Type:Organization
Organization Name:M FEINBERG DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:ELIEZER
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:518-825-0025
Mailing Address - Street 1:304 W BAY PLZ
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1787
Mailing Address - Country:US
Mailing Address - Phone:518-825-0025
Mailing Address - Fax:518-825-0029
Practice Address - Street 1:304 W BAY PLZ
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-1787
Practice Address - Country:US
Practice Address - Phone:518-825-0025
Practice Address - Fax:518-825-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01535226Medicaid