Individual
FELICIA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 SEGUINE AVE, STATEN ISLAND, NY 10309-3932
(718) 226-2000
Mailing address
686 LAMONT AVE, STATEN ISLAND, NY 10312-2609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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