Provider Demographics
NPI:1609216407
Name:FELDMAN, JENNIFER ELIZABETH (MSED)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:ELIZABETH
Other - Last Name:NIELSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 WATER ST
Mailing Address - Street 2:#1405
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3558
Mailing Address - Country:US
Mailing Address - Phone:914-720-5789
Mailing Address - Fax:
Practice Address - Street 1:200 WATER ST
Practice Address - Street 2:#1405
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3558
Practice Address - Country:US
Practice Address - Phone:914-720-5789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist