Provider Demographics
NPI:1154366763
Name:FEINSTEIN, STUART (MD)
Entity type:Individual
Prefix:
First Name:STUART
Middle Name:
Last Name:FEINSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2266 DUTCH BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3507
Mailing Address - Country:US
Mailing Address - Phone:516-775-0493
Mailing Address - Fax:
Practice Address - Street 1:2266 DUTCH BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-3507
Practice Address - Country:US
Practice Address - Phone:516-775-0493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1611952080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY28435OtherVYTRA
NY0098863OtherGHI
NYAP173OtherOXFORD
NY0521647OtherAETNA-USHC
NY01729771Medicaid
NYOJ118POtherHIP
NY36E791OtherBLUE CROSS
NY01729771Medicaid