Organization
CANDIDO FUENTES-FELIX PHYSICAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDIDO FUENTES-FELIX MD (PRESIDENT)
(631) 385-9377
Entity
Organization
Contact information
Practice address
120 NEW YORK AVE, SUITE 1W, HUNTINGTON, NY 11743-2773
(631) 385-9377
Mailing address
120 NEW YORK AVE, SUITE 1W, HUNTINGTON, NY 11743-2773
(631) 385-9377
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
148869-1
NY
Other
Enumeration date
05/02/2011
Last updated
11/26/2019
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