Provider Demographics
NPI:1063158681
Name:MICHAEL FEMINELLA MD PC
Entity type:Organization
Organization Name:MICHAEL FEMINELLA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEMINELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-240-6471
Mailing Address - Street 1:8 FRONT ST UNIT 728
Mailing Address - Street 2:
Mailing Address - City:CROTON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:10519-7563
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 FRONT ST UNIT 728
Practice Address - Street 2:
Practice Address - City:CROTON FALLS
Practice Address - State:NY
Practice Address - Zip Code:10519
Practice Address - Country:US
Practice Address - Phone:203-240-6471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty