Provider Demographics
NPI:1144669953
Name:FEFFER, PAUL ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
Last Name:FEFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7 WIMBLEDON DR
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-3039
Mailing Address - Country:US
Mailing Address - Phone:516-365-3411
Mailing Address - Fax:516-365-3411
Practice Address - Street 1:7 WIMBLEDON DR
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-3039
Practice Address - Country:US
Practice Address - Phone:516-365-3411
Practice Address - Fax:516-365-3411
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY092472207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology