Provider Demographics
NPI:1801204748
Name:FEINBERG, MICHELLE KRYSTLE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:KRYSTLE
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 TRANSVERSE RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-1853
Mailing Address - Country:US
Mailing Address - Phone:516-476-2835
Mailing Address - Fax:
Practice Address - Street 1:89 TRANSVERSE RD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1853
Practice Address - Country:US
Practice Address - Phone:516-476-2835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-23
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026331103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical