Provider Demographics
NPI:1770869109
Name:FEINBERG, DEBRA B (BS, JD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:B
Last Name:FEINBERG
Suffix:
Gender:F
Credentials:BS, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26 OLDOX RD
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-2943
Mailing Address - Country:US
Mailing Address - Phone:518-456-8819
Mailing Address - Fax:518-456-9319
Practice Address - Street 1:2 PINE WEST PLZ
Practice Address - Street 2:WASHINGTON AVENUE EXTENSION
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5532
Practice Address - Country:US
Practice Address - Phone:518-456-8819
Practice Address - Fax:518-456-9319
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist