Individual
FELECIA SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6378
Mailing address
406 E SADDLE RIVER RD, UPPER SADDLE RIVER, NJ 07458-1756
(201) 825-7572
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003895
NY
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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