Provider Demographics
NPI:1811930399
Name:FEINMAN, ROBERT LAWRENCE JR (RPA-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LAWRENCE
Last Name:FEINMAN
Suffix:JR
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:111 CLARA BARTON ST
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9503
Mailing Address - Country:US
Mailing Address - Phone:585-335-6001
Mailing Address - Fax:585-335-9728
Practice Address - Street 1:111 CLARA BARTON ST
Practice Address - Street 2:
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437-9503
Practice Address - Country:US
Practice Address - Phone:585-335-9360
Practice Address - Fax:585-335-9436
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY6606363A00000X
NY006606363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY19006600OtherEXCELLUS ROCHESTER
NY01947777Medicaid
NY108919CUOtherPREFERRED CARE
NY01947777Medicaid
NY01947777Medicaid
NY570375002OtherHEALTHNOW