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Organization
MELPPRIVATEDUTYNUR
Active
Organization
MELPPRIVATEDUTYNUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PENNANT-ROBBINS LPN (LICENSED PRACTICAL NURSE)
(718) 809-9685
Entity
Organization
Contact information
Practice address
189 BEECH ST, VALLEY STREAM, NY 11580-4903
(718) 809-9685
Mailing address
189 BEECH ST, VALLEY STREAM, NY 11580-4903
(718) 809-9685
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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