Basic Information
Provider Information
NPI: 1346515129
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FEINSTEIN
FirstName: JUNE
MiddleName: ARLENE
NamePrefix: MS.
NameSuffix:  
Credential: N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 222 MIDDLE COUNTRY ROAD SUITE 310
Address2:  
City: SMITHTOWN
State: NY
PostalCode: 11787
CountryCode: US
TelephoneNumber: 6312651622
FaxNumber: 6312653042
Practice Location
Address1: 400 SUNRISE HWY
Address2:  
City: AMITYVILLE
State: NY
PostalCode: 117012508
CountryCode: US
TelephoneNumber: 6312644000
FaxNumber: 6312645259
Other Information
ProviderEnumerationDate: 03/13/2012
LastUpdateDate: 12/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/11/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XF401454-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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