Individual
FELISHA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
349 E 52ND ST, NEW YORK, NY 10022-6346
(516) 754-4397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024526
NY
Other
Enumeration date
12/09/2019
Last updated
01/10/2020
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