Provider Demographics
NPI:1740517101
Name:POLINA FEYGIN MEDICAL PC
Entity type:Organization
Organization Name:POLINA FEYGIN MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:POLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEYGIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-886-5888
Mailing Address - Street 1:14210 ROOSEVELT AVE
Mailing Address - Street 2:STE B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11534
Mailing Address - Country:US
Mailing Address - Phone:718-886-5888
Mailing Address - Fax:
Practice Address - Street 1:14210 ROOSEVELT AVE
Practice Address - Street 2:STE B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11534
Practice Address - Country:US
Practice Address - Phone:718-886-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty