Provider Demographics
NPI:1942984802
Name:FELTHEIMER, MERYL (MSW)
Entity Type:Individual
Prefix:
First Name:MERYL
Middle Name:
Last Name:FELTHEIMER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 RIVERSIDE BLVD APT 12U
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0719
Mailing Address - Country:US
Mailing Address - Phone:516-941-8591
Mailing Address - Fax:
Practice Address - Street 1:160 RIVERSIDE BLVD APT 12U
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10069-0719
Practice Address - Country:US
Practice Address - Phone:516-941-8591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker