Provider Demographics
NPI:1841470564
Name:FEINERMAN, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:FEINERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 BEACON ST APT 305
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3934
Mailing Address - Country:US
Mailing Address - Phone:617-460-5757
Mailing Address - Fax:617-566-9784
Practice Address - Street 1:1148 CENTRE ST
Practice Address - Street 2:
Practice Address - City:NEWTON CENTER
Practice Address - State:MA
Practice Address - Zip Code:02459-1539
Practice Address - Country:US
Practice Address - Phone:617-460-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2364171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist