Provider Demographics
NPI:1639194525
Name:VOLOZIN, FELIX (MD)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:VOLOZIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 BRONX PARK E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-1239
Mailing Address - Country:US
Mailing Address - Phone:718-918-9358
Mailing Address - Fax:718-931-4549
Practice Address - Street 1:2160 BRONX PARK E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-1239
Practice Address - Country:US
Practice Address - Phone:718-918-9358
Practice Address - Fax:718-931-4549
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179277207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01165071Medicaid
NYE34879Medicare UPIN
NY01165071Medicaid