Healthcare Provider Details

I. General information

NPI: 1407166333
Provider Name (Legal Business Name): CLAUDIA A. FELIZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CLAUDIA CRUZ

II. Dates (important events)

Enumeration Date: 10/13/2010
Last Update Date: 05/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2857 LINDEN BLVD
BROOKLYN NY
11208-5126
US

IV. Provider business mailing address

717 CLARENCE AVE
BRONX NY
10465-1703
US

V. Phone/Fax

Practice location:
  • Phone: 718-235-3100
  • Fax: 718-277-0822
Mailing address:
  • Phone: 646-255-7122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number080120
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: