Provider Demographics
NPI:1619729373
Name:FELIPE, DINAH
Entity Type:Individual
Prefix:
First Name:DINAH
Middle Name:
Last Name:FELIPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17112 140TH AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-4604
Mailing Address - Country:US
Mailing Address - Phone:646-389-3618
Mailing Address - Fax:
Practice Address - Street 1:17112 140TH AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-4604
Practice Address - Country:US
Practice Address - Phone:646-389-3618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach