Individual
FELICIA MICHELE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20514 LINDEN BLVD, SAINT ALBANS, NY 11412-2900
(718) 528-5493
Mailing address
14121 180TH ST, JAMAICA, NY 11434-4723
(718) 812-3475
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
305073
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305073
—
NY
Enumeration date
07/06/2011
Last updated
07/06/2011
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