Provider Demographics
NPI:1851366066
Name:FELDSHUH, BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:FELDSHUH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 E 35TH ST
Mailing Address - Street 2:APT 106
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3124
Mailing Address - Country:US
Mailing Address - Phone:212-684-7396
Mailing Address - Fax:212-689-4320
Practice Address - Street 1:150 E 37TH ST
Practice Address - Street 2:APT LBB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3124
Practice Address - Country:US
Practice Address - Phone:212-689-4320
Practice Address - Fax:212-689-4320
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0925612084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B16199Medicare UPIN
NY537771Medicare ID - Type Unspecified