Individual
MELANIE BISSETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
45 LINCOLN AVE, MASSAPEQUA PARK, NY 11762-2617
(516) 994-7745
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020102
NY
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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