Individual
MRS. MELISSA ANN LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
30 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3906
(845) 231-5600
Mailing address
8 OAKDALE RD, PUTNAM VALLEY, NY 10579-1523
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
64535-1
NY
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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