Provider Demographics
NPI:1962736231
Name:SAAVEDRA, FELICIA SARMIENTO (OTR)
Entity type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:SARMIENTO
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22022 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3043
Mailing Address - Country:US
Mailing Address - Phone:718-776-3432
Mailing Address - Fax:
Practice Address - Street 1:22022 75TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3043
Practice Address - Country:US
Practice Address - Phone:718-776-3432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009211174400000X
174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist