Individual
MELISSA SIMKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, TH 530,, NEW YORK, NY 10016-6402
(516) 423-9707
Mailing address
48 CARRIAGE RD, GREAT NECK, NY 11024-1446
(516) 423-9707
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
643592
NY
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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