Individual
MELISSA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
49 RTE 347, PORT JEFFERSON STATION, NY 11776-2628
(631) 751-3000
(631) 751-0506
Mailing address
29 FISCHER AVE, ISLIP TERRACE, NY 11752-1509
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432093
NY
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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