Individual
MICHELLE C MELLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8 DELAY ST, DANBURY, CT 06810-6654
(203) 797-8330
Mailing address
8268 164TH ST STE 1B-02, JAMAICA, NY 11432-1121
(718) 883-3070
(718) 883-6115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
021324
NY
363A00000X
Physician Assistant
Primary
6524
CT
Other
Enumeration date
09/26/2017
Last updated
04/01/2024
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