Individual
JADE FELECIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 FILBERT ST, VALLEY STREAM, NY 11581-2906
(516) 946-4326
Mailing address
22 FILBERT ST, VALLEY STREAM, NY 11581-2906
(516) 946-4326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008262
NY
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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