Individual
FELICIA JOY ENDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., LPN
Contact information
Practice address
202 BEAVER DR, MASTIC BEACH, NY 11951-2812
(631) 466-2226
Mailing address
145 MONTGOMERY AVE, WEST BABYLON, NY 11704-4834
(631) 466-2226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
653008
NY
163WH0200X
Home Health Registered Nurse
Primary
653008
NY
164W00000X
Licensed Practical Nurse
295347
NY
Other
Enumeration date
03/14/2012
Last updated
11/03/2017
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