Individual
FELICIA METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN. LMT
Contact information
Practice address
2 GRAY AVENUE, WESTHAMPTON, NY 11977-0347
(631) 288-3655
Mailing address
PO BOX 347, 2 GRAY AVENUE, WESTHAMPTON, NY 11977-0347
(631) 288-3655
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
620524-1
NY
163WM1400X
Nurse Massage Therapist (NMT)
620524-1
NY
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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