Provider Demographics
NPI:1518150051
Name:JEAN-FELIX, EMMANUEL N (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:EMMANUEL
Middle Name:N
Last Name:JEAN-FELIX
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:111 E 210TH ST
Mailing Address - Street 2:CRITICAL CARE MEDICINE DEPARTMENT
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2401
Mailing Address - Country:US
Mailing Address - Phone:718-920-2449
Mailing Address - Fax:718-652-2464
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:CRITICAL CARE MEDICINE DEPARTMENT
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:718-920-2449
Practice Address - Fax:718-652-2464
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-18
Last Update Date:2007-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY006223-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical