Individual
MICHELE N SCOMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
59 CROSBY ST, SAYVILLE, NY 11782-1801
(631) 509-0583
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305849
NY
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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