Individual
MELISA GAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11315 204TH ST, SAINT ALBANS, NY 11412-2534
(646) 841-7481
Mailing address
11315 204TH ST, SAINT ALBANS, NY 11412-2534
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
343144280711E
NY
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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