Individual
DR. DANIELLE MARIE MELLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
457 W 57TH ST # 705, NEW YORK, NY 10019-1701
(917) 566-3455
Mailing address
457 W 57TH ST # 705, NEW YORK, NY 10019-1701
(917) 566-3455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
251756
NY
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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