Individual
MR. BOBBY E FELICIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MR.FELICIE
Contact information
Practice address
3205 OXFORD AVE, 10, BRONX, NY 10463
(917) 916-7692
Mailing address
3205 OXFORD AVE, 10, THE BRONX, NY 10463
(917) 300-8523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
036483
FL
103TP2701X
Group Psychotherapy Psychologist
Primary
S1901902
VA
2083P0901X
Public Health & General Preventive Medicine Physician
572462C
DC
2278S1500X
SNF/Subacute Care Certified Respiratory Therapist
4005478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201921906550732320
—
NY
01
—
3057202
WORKERS COMPENSATION BOARD
NY
01
—
4005478
BEHAVIORAL HEALTH MENTAL THERAPY
NY
05
—
NYSOMIG-2019110
—
NY
01
—
S1901902
PSYCHOTHERAPY
VA
Enumeration date
11/29/2018
Last updated
04/12/2021
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