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Individual

ALICE MELENDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 998-0200
Mailing address
1663 E 17TH ST, BROOKLYN, NY 11229-1259
(718) 998-0200

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
405234
NY

Other

Enumeration date
02/21/2014
Last updated
02/21/2014
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