Individual
MR. ADAM FELLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1987 CYNTHIA LN, MERRICK, NY 11566-5111
(646) 270-5152
Mailing address
1987 CYNTHIA LN, MERRICK, NY 11566-5111
(646) 270-5152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3902000000X
NY
1223P0221X
Pediatric Dentistry
Primary
058160
NY
Other
Enumeration date
04/25/2014
Last updated
02/12/2021
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