Individual
MARY FEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3920 VETERANS MEMORIAL HWY STE 8, BOHEMIA, NY 11716-1074
(631) 563-8190
(631) 563-8194
Mailing address
3920 VETERANS MEMORIAL HWY STE 8, BOHEMIA, NY 11716-1074
(631) 563-8190
(631) 563-8194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
382476
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382476-1N
NY
Other
Enumeration date
09/10/2014
Last updated
01/24/2023
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