Healthcare Provider Details

I. General information

NPI: 1447197413
Provider Name (Legal Business Name): ESTHER T FELIX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13618 242ND ST
ROSEDALE NY
11422-1523
US

IV. Provider business mailing address

13618 242ND ST
ROSEDALE NY
11422-1523
US

V. Phone/Fax

Practice location:
  • Phone: 347-569-7740
  • Fax:
Mailing address:
  • Phone: 347-569-7740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number978326
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: