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Individual

ANGELIKA MELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2169 E 23RD ST, BROOKLYN, NY 11229-3645
(917) 488-4883
Mailing address
2169 E 23RD ST, BROOKLYN, NY 11229-3645

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1216399
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000281856
MAGNACARE
NY
Enumeration date
06/10/2012
Last updated
06/10/2012
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