Provider Demographics
NPI:1205932290
Name:FEHER, LASZLO A (DO)
Entity type:Individual
Prefix:
First Name:LASZLO
Middle Name:A
Last Name:FEHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2607
Mailing Address - Country:US
Mailing Address - Phone:212-686-4212
Mailing Address - Fax:917-256-1572
Practice Address - Street 1:148 E 38TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2607
Practice Address - Country:US
Practice Address - Phone:212-686-4212
Practice Address - Fax:917-256-1572
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199199207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01977797Medicaid
NY01977797Medicaid
NY33N731Medicare PIN