Individual
MELISSA VANCLEEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
(607) 274-6316
Mailing address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
(607) 274-6316
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
664957
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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