Provider Demographics
NPI:1194704627
Name:FELDMAN, DORON (MD)
Entity type:Individual
Prefix:
First Name:DORON
Middle Name:
Last Name:FELDMAN
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 1:219 BRYANT ST
Mailing Address - Street 2:CGF ANESTHESIA ASSOCIATES PC
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2006
Mailing Address - Country:US
Mailing Address - Phone:716-878-7444
Mailing Address - Fax:716-878-7316
Practice Address - Street 1:219 BRYANT ST.
Practice Address - Street 2:WOMEN & CHILDREN'S HOSPITAL OF BUFFALO
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7701
Practice Address - Fax:716-878-7316
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1916121207L00000X
PAMD050938L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01495867Medicaid
NY01495867Medicaid
F97718Medicare UPIN