Provider Demographics
NPI:1942552971
Name:FELIX, MARIE MYRLANDE
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:MYRLANDE
Last Name:FELIX
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 1:864 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4652
Mailing Address - Country:US
Mailing Address - Phone:347-262-8513
Mailing Address - Fax:
Practice Address - Street 1:864 VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-4652
Practice Address - Country:US
Practice Address - Phone:347-262-8513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-15
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7915194163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse