Individual
MRS. JILL DENISE MELICHAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2900 VETERANS MEMORIAL HWY, BOHEMIA, NY 11716-1022
(631) 218-4949
Mailing address
56 KENWOOD DR, BOHEMIA, NY 11716-1316
(631) 563-4338
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
428872
NY
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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