Individual
MRS. MELISSA ANN BIAMONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT REGISTERED
Contact information
Practice address
5 COBBLESTONE LN, LAKE GROVE, NY 11755-2757
(516) 749-5759
Mailing address
5 COBBLESTONE LN, LAKE GROVE, NY 11755-2757
(631) 648-8812
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
011905
NY
Other
Enumeration date
02/01/2007
Last updated
08/18/2011
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