Individual
MS. CHRISTINE MICHELLE FELICIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MERRIMAN AVE, SYRACUSE, NY 13204
(315) 507-1484
Mailing address
PO BOX 143, SYRACUSE, NY 13207
(315) 507-1484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298167
NY
Other
Enumeration date
05/02/2014
Last updated
12/26/2023
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