Individual
DR. MICHAEL FEMENELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
279 SUFFOLK AVE, STATEN ISLAND, NY 10314-6948
(718) 983-0633
(718) 983-0348
Mailing address
11 NORTH CRES, MAPLEWOOD, NJ 07040-2707
(718) 983-0633
(718) 983-0348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
013369
NY
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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