Individual
MR. FEIZAL FAKIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7300
Mailing address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 649-7070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014557
NY
363AM0700X
Medical Physician Assistant
PA.200804.RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02637794
—
MS
05
—
2395432
—
LA
Enumeration date
01/14/2011
Last updated
08/10/2022
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