National Provider Identifier

Felicity J Brockhuizen

Felicity J Brockhuizen is listed in the NPPES registry with a primary specialty of Physician Assistant in Newark, NY and a listed phone number of (315) 359-2123.

NPI 1235837295Newark, NYPhysician Assistant

Profile Overview

NPI
1235837295
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 20, 2023
Last Updated
December 09, 2024

Practice Location

  • 1200 Driving Park Ave
  • Newark, NY 14513-1090

Phone: (315) 359-2123

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1235837295
Entity Type
Individual
Last Name
Brockhuizen
First Name
Felicity
Middle Name
J
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1200 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1090
Practice Country
US
Practice Phone
(315) 359-2123
Enumeration Date
February 20, 2023
Last Updated
December 09, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
December 09, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)