Individual
TAMEKIA MELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 PENN PLZ FL 8, NEW YORK, NY 10119-0899
(212) 216-6400
Mailing address
757 CENTER DR, NORTH BALDWIN, NY 11510-1103
(516) 515-8536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
652322
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
311821
NY
Other
Enumeration date
02/24/2012
Last updated
08/22/2024
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