Provider Demographics
NPI:1922376318
Name:FEURSTEIN, JOAN MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:MARIE
Last Name:FEURSTEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 SALINA ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-1215
Mailing Address - Country:US
Mailing Address - Phone:518-370-8322
Mailing Address - Fax:518-881-3862
Practice Address - Street 1:725 SALINA ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-1215
Practice Address - Country:US
Practice Address - Phone:518-370-8322
Practice Address - Fax:518-881-3862
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01406986Medicaid