1922188192 NPI number — YEHUDI M FELMAN

Table of content: YEHUDI M FELMAN (NPI 1922188192)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922188192 NPI number — YEHUDI M FELMAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FELMAN
Provider First Name:
YEHUDI
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FELMAN
Provider Other First Name:
YEHUDI
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1922188192
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8100 BAY PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-256-2600
Provider Business Mailing Address Fax Number:
718-232-3660

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8100 BAY PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-256-2600
Provider Business Practice Location Address Fax Number:
718-232-3660
Provider Enumeration Date:
10/16/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207NS0135X , with the licence number:  0922031 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4C2644 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0050865 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: K5867 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 092203A18 . This is a "HEALTH FIRST" identifier . This identifiers is of the category "OTHER".
  • Identifier: BKX084801 . This is a "AMERICHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0467030 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1460885004 . This is a "CIGNA #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 913861 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4C2644 . This is a "GUARDIAN" identifier . This identifiers is of the category "OTHER".