| Dr Lawrence Feder | |
|
55 Avenue C New York NY 10009-6855 | |
| (212) 673-3698 | |
| Not Available |
| Full Name | Dr Lawrence Feder |
|---|---|
| Speciality | Dentist |
| Location | 55 Avenue C, New York, New York |
| Authorized Official Name and Position | Lawrence Feder (OWNER) |
| Authorized Official Contact | 2126733698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence Feder 710 Queen Anne Rd Teaneck NJ 07666-3316 Ph: (212) 673-3698 | Dr Lawrence Feder 55 Avenue C New York NY 10009-6855 Ph: (212) 673-3698 |
| NPI Number | 1497176366 |
|---|---|
| Provider Enumeration Date | 12/19/2013 |
| Last Update Date | 12/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497176366 | NPI | - | NPPES |
| 00292379 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (New York) | Primary |
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