Individual
PROF. FELICIA MATEO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2524 RADCLIFF AVE, BRONX, NY 10469-4206
(347) 874-9876
Mailing address
2524 RADCLIFF AVE, BRONX, NY 10469-4206
(347) 874-9876
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
008360-1
NY
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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