Provider Demographics
NPI:1538221999
Name:FELIU, PAUL CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CHARLES
Last Name:FELIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 IRVING AVE
Mailing Address - Street 2:SYRACUSE VA MEDICAL CENETR
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2716
Mailing Address - Country:US
Mailing Address - Phone:315-425-4828
Mailing Address - Fax:315-425-4827
Practice Address - Street 1:4359 OLYMPUS HTS
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-2460
Practice Address - Country:US
Practice Address - Phone:315-559-7007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0067551363AM0700X
SCLL88205207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical