Provider Demographics
NPI:1770333064
Name:FELIX, LIZA FRANCESCA GLIFONEA (PT)
Entity type:Individual
Prefix:
First Name:LIZA FRANCESCA
Middle Name:GLIFONEA
Last Name:FELIX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LIZA FRANCESCA
Other - Middle Name:CUADRA
Other - Last Name:GLIFONEA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:6860 AUSTIN ST STE 307
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4223
Mailing Address - Country:US
Mailing Address - Phone:718-880-1716
Mailing Address - Fax:
Practice Address - Street 1:13508 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-3602
Practice Address - Country:US
Practice Address - Phone:718-322-6290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047662225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist