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Individual

VICTOR FELICIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1150 PORTION RD STE 11, HOLTSVILLE, NY 11742-1074
(631) 320-3111
(631) 320-3110
Mailing address
1150 PORTION RD STE 11, HOLTSVILLE, NY 11742-1074
(631) 320-3111
(631) 320-3110

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
12/21/2021
Last updated
12/21/2021
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