Individual
INGRID IVANNA FELIX-PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9320 ROOSEVELT AVE, SUITE 2A, JACKSON HEIGHTS, NY 11372-7911
(718) 334-6793
(718) 334-6717
Mailing address
9320 ROOSEVELT AVE, SUITE 2A, JACKSON HEIGHTS, NY 11372-7911
(718) 334-6793
(718) 334-6717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
180491
NY
Other
Enumeration date
07/07/2006
Last updated
04/25/2012
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