Individual
MR. NICHOLAS MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
9 APPLE LN, WALLKILL, NY 12589-4417
(845) 728-2017
Mailing address
9 APPLE LN, WALLKILL, NY 12589-4417
(845) 728-2017
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008652
NY
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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