Provider Demographics
NPI:1871970780
Name:SHERYL L. FEINGOLD, M.D., P.C.
Entity type:Organization
Organization Name:SHERYL L. FEINGOLD, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FEINGOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-301-5200
Mailing Address - Street 1:833 NORTHERN BOULEVARD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5322
Mailing Address - Country:US
Mailing Address - Phone:516-301-5200
Mailing Address - Fax:516-301-5250
Practice Address - Street 1:833 NORTHERN BOULEVARD
Practice Address - Street 2:SUITE 140
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5322
Practice Address - Country:US
Practice Address - Phone:516-301-5200
Practice Address - Fax:516-301-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198125207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty