Individual
FELICIA BISSESSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
234 EUGENIO MARIA DE HOSTO BLVD, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
11112 126TH ST, SOUTH OZONE PARK, NY 11420-1511
(917) 496-7594
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018192
NY
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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