Provider Demographics
NPI:1942283742
Name:FELDMAN, SHELDON (MD)
Entity Type:Individual
Prefix:
First Name:SHELDON
Middle Name:
Last Name:FELDMAN
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 1:161 FORT WASHINGTON AVENUE, 10TH FLOOR
Mailing Address - Street 2:COLUMBIA UNIVERSITY MEDICAL CENTER/HERBERT IRVING PAVIL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-9676
Mailing Address - Fax:212-305-1522
Practice Address - Street 1:161 FORT WASHINGTON AVENUE, 10TH FLOOR
Practice Address - Street 2:COLUMBIA UNIVERSITY MEDICAL CENTER/HERBERT IRVING PAVIL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-9676
Practice Address - Fax:212-305-1522
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1297322086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00617703Medicaid
NY00617703Medicaid
C11010Medicare UPIN