Individual
BRITTANY MELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3109 HYLAN BLVD, STATEN ISLAND, NY 10306-4146
(718) 351-0308
Mailing address
1072 RENSSELAER AVE, STATEN ISLAND, NY 10309-2114
(347) 401-0278
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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