Provider Demographics
NPI:1710362504
Name:FEINSTEIN, SAMUEL JARED (PA-C)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:JARED
Last Name:FEINSTEIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:SAM
Other - Middle Name:JARED
Other - Last Name:FEINSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:101 FAIRVIEW CIR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042
Practice Address - Country:US
Practice Address - Phone:717-279-7303
Practice Address - Fax:717-279-7471
Is Sole Proprietor?:No
Enumeration Date:2015-07-22
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
PAMA057780363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant