Provider Demographics
NPI:1144550278
Name:CHIA, FELICITA (MD)
Entity type:Individual
Prefix:
First Name:FELICITA
Middle Name:
Last Name:CHIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 GREENPOINT AVE # 153
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-1709
Mailing Address - Country:US
Mailing Address - Phone:718-707-1019
Mailing Address - Fax:212-888-4899
Practice Address - Street 1:4701 GREENPOINT AVE # 153
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1709
Practice Address - Country:US
Practice Address - Phone:718-707-1019
Practice Address - Fax:212-888-4899
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169125208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice