Basic Information
Provider Information
NPI: 1992724777
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FELSON
FirstName: SABRINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 423 EAST 23RD STREET
Address2: GROUND FLOOR RM 609
City: NEW YORK
State: NY
PostalCode: 10010
CountryCode: US
TelephoneNumber: 2126867500
FaxNumber:  
Practice Location
Address1: 423 EAST 23RD STREET
Address2: ROOM G609
City: NEW YORK
State: NY
PostalCode: 10010
CountryCode: US
TelephoneNumber: 2126867500
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/19/2006
LastUpdateDate: 07/20/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X230556NYY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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