Provider Demographics
NPI:1730257023
Name:JOSEPH G. FEGHALI, M.D., P.C.
Entity type:Organization
Organization Name:JOSEPH G. FEGHALI, M.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:FEGHALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-881-3277
Mailing Address - Street 1:182 E 210TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2411
Mailing Address - Country:US
Mailing Address - Phone:718-881-3277
Mailing Address - Fax:718-881-4911
Practice Address - Street 1:182 E 210TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2411
Practice Address - Country:US
Practice Address - Phone:718-881-3277
Practice Address - Fax:718-881-4911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-03
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141640261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center