Individual
MR. MARIA LISA FELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED.
Contact information
Practice address
5121 CLEARVIEW DR, WILLIAMSVILLE, NY 14221-4107
(716) 400-4501
Mailing address
5121 CLEARVIEW DR, WILLIAMSVILLE, NY 14221-4107
(716) 400-4501
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
08/17/2008
Last updated
08/17/2008
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