Provider Demographics
NPI:1003900622
Name:TENEDIOS, FELICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FELICIA
Middle Name:
Last Name:TENEDIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:
Other - Last Name:TENEDIOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1200 SOUTH AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3420
Mailing Address - Country:US
Mailing Address - Phone:718-447-0055
Mailing Address - Fax:718-876-5212
Practice Address - Street 1:1200 SOUTH AVE STE 204
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3420
Practice Address - Country:US
Practice Address - Phone:718-447-0055
Practice Address - Fax:718-876-5212
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223500207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology