Provider Demographics
NPI:1942618152
Name:ARTHUR FEIGENBAUM DMD PLLC
Entity Type:Organization
Organization Name:ARTHUR FEIGENBAUM DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIGENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-268-4742
Mailing Address - Street 1:7031 108TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4424
Mailing Address - Country:US
Mailing Address - Phone:718-268-4742
Mailing Address - Fax:
Practice Address - Street 1:7031 108TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4424
Practice Address - Country:US
Practice Address - Phone:718-268-4742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003642332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6777310001Medicare NSC