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Individual

DR. MELISSA D FANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 HOSPITAL RD STE 106, EAST PATCHOGUE, NY 11772-8811
(631) 228-5899
(929) 455-9828
Mailing address
100 HOSPITAL RD STE 106, EAST PATCHOGUE, NY 11772-8811
(631) 228-5899
(929) 455-9828

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
264148
NY
208600000X
Surgery Physician
4301103263
MI

Other

Enumeration date
08/25/2008
Last updated
04/26/2026
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