Provider Demographics
NPI:1689471898
Name:FEINBERG, GRIFFIN (SCM)
Entity type:Individual
Prefix:
First Name:GRIFFIN
Middle Name:
Last Name:FEINBERG
Suffix:
Gender:
Credentials:SCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 RICHMOND ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4228
Mailing Address - Country:US
Mailing Address - Phone:732-710-7810
Mailing Address - Fax:
Practice Address - Street 1:580 S WATER ST APT 313
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4352
Practice Address - Country:US
Practice Address - Phone:732-710-7810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program