Organization
MEDSTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE FELICIANO (MD)
(516) 759-5406
Entity
Organization
Contact information
Practice address
104 FOREST AVE, GLEN COVE, NY 11542-2015
(516) 759-5406
Mailing address
104 FOREST AVE, GLEN COVE, NY 11542-2015
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
020394
NY
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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