1285800789 NPI number — HENRY FERSTENBERG, MD PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285800789 NPI number — HENRY FERSTENBERG, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HENRY FERSTENBERG, MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285800789
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 EAST 46TH STREET
Provider Second Line Business Mailing Address:
9TH FLOOR
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10017-9249
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-768-0562
Provider Business Mailing Address Fax Number:
516-877-8119

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 EAST 46TH STREET
Provider Second Line Business Practice Location Address:
9TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10017-9249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-768-0562
Provider Business Practice Location Address Fax Number:
516-877-8119
Provider Enumeration Date:
05/05/2008

Additional Information

Authorized Official

Authorized Official Last Name:
FERSTENBERG
Authorized Official First Name:
HENRY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
212-768-0562

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  139924 , 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)





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