Individual
MELISSA PEI-LIH JACCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 EARLE OVINGTON BLVD, UNIONDALE, NY 11553-3610
(516) 222-8881
Mailing address
10106 67TH DR APT 6B, FOREST HILLS, NY 11375-2774
(973) 580-3877
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
021449
NY
Other
Enumeration date
11/06/2017
Last updated
04/25/2024
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