Provider Demographics
NPI:1326474974
Name:FELIZ, INIS (MS)
Entity Type:Individual
Prefix:MS
First Name:INIS
Middle Name:
Last Name:FELIZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 HUGUENOT ST APT 709
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6393
Mailing Address - Country:US
Mailing Address - Phone:914-441-0172
Mailing Address - Fax:
Practice Address - Street 1:255 HUGUENOT ST APT 709
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6393
Practice Address - Country:US
Practice Address - Phone:914-441-0172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-15
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist