MEDICARE: DR. MARIE AURORE FELIX MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	P131862	NY

General Provider Information

NPI Number	:	1174348767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE AURORE FELIX MD

Provider Business Mailing Address
First Line	:	3438 BELL BLVD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-1739
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 VIRGINIA ST
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-4630
Country	:	US
Telephone Number	:	718-327-2909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	11/19/2024

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