Individual
DR. FELIZEN SOTO AGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5112 W. TAFT RD, STE J, LIVERPOOL, NY 13088
(315) 701-2170
(315) 701-2185
Mailing address
5112 W. TAFT RD, STE J, LIVERPOOL, NY 13088
(315) 701-2170
(315) 701-2185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
271686-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03712618
—
NY
Enumeration date
04/30/2009
Last updated
10/23/2024
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