Individual
MS. FELICIA ANN BREIHOF-MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
16150 92ND ST, HOWARD BEACH, NY 11414-3428
(718) 848-0475
Mailing address
254 WHALEY ST, FREEPORT, NY 11520-4841
(516) 507-4104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016598-1
NY
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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