Individual
MS. DANIELLE GLORIA FELICCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019853
NY
Other
Enumeration date
07/16/2016
Last updated
04/29/2021
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