Provider Demographics
NPI:1154671956
Name:FELSMAN, ALEXIS HELENA (DO)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:HELENA
Last Name:FELSMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:HELENA
Other - Last Name:JESIKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:601 PARK ST
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1445
Mailing Address - Country:US
Mailing Address - Phone:570-253-3005
Mailing Address - Fax:570-253-0181
Practice Address - Street 1:626 PARK ST
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-1446
Practice Address - Country:US
Practice Address - Phone:570-253-3005
Practice Address - Fax:570-253-0181
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018016207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty