Individual
DEBORAH FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 RESEARCH WAY, SUITE 500, EAST SETAUKET, NY 11733-3487
(631) 444-6270
(631) 638-0935
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0560
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
306090
NY
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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