Provider Demographics
NPI:1679583553
Name:FEINMAN, ELLIOTT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLIOTT
Middle Name:M
Last Name:FEINMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:26 FIREMENS MEMORIAL DR
Mailing Address - Street 2:SUITE 115
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3553
Mailing Address - Country:US
Mailing Address - Phone:845-362-8400
Mailing Address - Fax:845-362-8474
Practice Address - Street 1:4966 BROADWAY
Practice Address - Street 2:SUITE #1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-2318
Practice Address - Country:US
Practice Address - Phone:212-304-2020
Practice Address - Fax:212-304-2950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2016-08-16
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Provider Licenses
StateLicense IDTaxonomies
NY136144207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY90A981OtherMEDICARE
NY90A981OtherMEDICARE