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Individual

MELISSA ELLEN DERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
732 5TH AVE, BROOKLYN, NY 11232
(212) 226-7666
(212) 202-7988
Mailing address
732 5TH AVE, BROOKLYN, NY 11232-1306
(212) 226-7666
(212) 202-7988

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
274910
NY

Other

Enumeration date
05/30/2012
Last updated
12/11/2018
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