Individual
DARA MELNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(516) 528-3000
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(516) 528-3000
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
004460
NY
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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