Provider Demographics
NPI:1972567550
Name:FEINGOLD, SHERYL L (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:L
Last Name:FEINGOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 NORTHERN BOULEVARD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-301-5200
Mailing Address - Fax:516-301-5250
Practice Address - Street 1:833 NORTHERN BOULEVARD
Practice Address - Street 2:SUITE 140
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-301-5200
Practice Address - Fax:516-301-5250
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1981251207N00000X
NY198125207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G46027Medicare UPIN
036591Medicare ID - Type Unspecified
NYG46027Medicare UPIN