Shelly Ann Feliciano
Technician/Technologist in Bronx, NY. Individual provider (NPI-1).
NPI number1740772532
StatusActive
Last updated in NPPESApr 26, 2019
Details
- NPI
- 1740772532
- Entity type
- Individual (NPI-1)
- Name
- Shelly Ann Feliciano
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2018
- Last updated
- Apr 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156F00000X | Technician/Technologist | – | – | Yes |
Practice location
329 E 149th St Fl 4Bronx, NY 10451-5626
Phone 347-928-2084
Mailing address
1020 Calhoun Ave Fl 1Bronx, NY 10465-1911
Phone 718-769-2698 · Fax 718-292-0208
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