Provider Demographics
NPI:1497064299
Name:FELDMAN, MOR (C-C-C SLP, MS)
Entity Type:Individual
Prefix:
First Name:MOR
Middle Name:
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:C-C-C SLP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E 89TH ST APT 7D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-2326
Mailing Address - Country:US
Mailing Address - Phone:917-770-8986
Mailing Address - Fax:
Practice Address - Street 1:141 E 89TH ST APT 7D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2326
Practice Address - Country:US
Practice Address - Phone:917-770-8986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist