Provider Demographics
NPI:1184056228
Name:FELDER, KERRIE ANN (MASTERS)
Entity type:Individual
Prefix:MISS
First Name:KERRIE
Middle Name:ANN
Last Name:FELDER
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19205A 73RD AVE
Mailing Address - Street 2:3A
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1803
Mailing Address - Country:US
Mailing Address - Phone:917-482-7331
Mailing Address - Fax:
Practice Address - Street 1:19205A 73RD AVE
Practice Address - Street 2:3A
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1803
Practice Address - Country:US
Practice Address - Phone:917-482-7331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist