Healthcare Provider Details

I. General information

NPI: 1386577799
Provider Name (Legal Business Name): MS. MARY ANGELA FELIX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HAMILTON ST STE 9
DOBBS FERRY NY
10522-2863
US

IV. Provider business mailing address

2855 GRACE AVE APT 1
BRONX NY
10469-3405
US

V. Phone/Fax

Practice location:
  • Phone: 914-306-0863
  • Fax: 914-206-1062
Mailing address:
  • Phone: 347-612-7321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: