MS. Marissa Susan Feliciano

NPI #1134873342 in Middle Island, New York

Provider Information

NPI Number: 1134873342
Entity Type: Individual
Name: MS. Marissa Susan Feliciano
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 7, 2022
Last Updated: Feb 7, 2022

Practice Location

Address: 35 LONGWOOD RD
City: Middle Island
State: New York
ZIP Code: 11953-2045
Phone: (631) 924-4602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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