Provider Demographics
NPI:1972848505
Name:FELSENFELD, IRVING (RPH)
Entity Type:Individual
Prefix:
First Name:IRVING
Middle Name:
Last Name:FELSENFELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3354 NUTLY CIR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1207
Mailing Address - Country:US
Mailing Address - Phone:914-245-2732
Mailing Address - Fax:
Practice Address - Street 1:40 SPRING ST
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4716
Practice Address - Country:US
Practice Address - Phone:914-941-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0233131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist