Organization
MEILSSA BIALOWASZ INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SILVESTRO OTR/L (PRESIDENT)
(516) 860-4477
Entity
Organization
Contact information
Practice address
12 FAIRLANE DR, SELDEN, NY 11784-1717
(516) 860-4477
Mailing address
12 FAIRLANE DR, SELDEN, NY 11784-1717
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
011143-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285774399
NPI ENUMERATOR
NY
Enumeration date
11/18/2016
Last updated
11/18/2016
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