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Individual

DR. MELISSA M. MORTENSEN-WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
37 RESEARCH WAY, STONY BROOK SURGICAL ASSOCIATES, EAST SETAUKET, NY 11733-9200
(631) 444-4121
(631) 444-4189
Mailing address
DEPARTMENT OF SURGERY OTOLARYNGOLOGY, STONY BROOK UNIV MEDICAL CENTER, HSCT19-064, STONY BROOK, NY 11794-8191
(631) 444-8410
(631) 444-7635

Taxonomy

Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
0101243259
VA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
2341737
NY

Other

Enumeration date
04/11/2007
Last updated
07/25/2014
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