Provider Demographics
NPI:1891946703
Name:FEYGIN, RUSLAN (DO)
Entity Type:Individual
Prefix:
First Name:RUSLAN
Middle Name:
Last Name:FEYGIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SOUTHWOODS BLVD
Mailing Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES PC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2526
Mailing Address - Country:US
Mailing Address - Phone:518-292-6000
Mailing Address - Fax:518-292-6050
Practice Address - Street 1:2231 BURDETT AVE STE 160
Practice Address - Street 2:CAPITAL CARDIOLOGY ASSOCIATES PC
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2453
Practice Address - Country:US
Practice Address - Phone:518-292-6200
Practice Address - Fax:518-292-6228
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY239283207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03116598Medicaid
VT1016565Medicaid
MA110083996AMedicaid
VT1016565Medicaid
NYJ400005007Medicare PIN