| Joseph B Felder M D P C | |
|
115 E 57th St Suite510 New York NY 10022-2049 | |
| (212) 472-8039 | |
| Not Available |
| Full Name | Joseph B Felder M D P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 E 57th St, New York, New York |
| Authorized Official Name and Position | Joseph B Felder (OWNER) |
| Authorized Official Contact | 2124728039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph B Felder M D P C 115 E 57th St Suite510 New York NY 10022-2049 Ph: (212) 472-8039 | Joseph B Felder M D P C 115 E 57th St Suite510 New York NY 10022-2049 Ph: (212) 472-8039 |
| NPI Number | 1699040568 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 12/27/2013 |
| Medicare PECOS PAC ID | 5597929505 |
|---|---|
| Medicare Enrollment ID | O20120604000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699040568 | NPI | - | NPPES |
| 03463292 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 183784 (New York) | Primary |
| Provider Name | Joseph B Felder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174522569 PECOS PAC ID: 7113977752 Enrollment ID: I20050131000978 |
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