Individual
MR. ANDREW LAWRENCE MELISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
408 GRAND ST, NEW YORK, NY 10002-4702
(212) 529-7115
(212) 598-5961
Mailing address
408 GRAND ST, NEW YORK, NY 10002-4702
(212) 529-7115
(212) 598-5961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004984
—
NY
Enumeration date
11/17/2007
Last updated
11/17/2007
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