Individual
MELISSA FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W 40TH ST, NEW YORK, NY 10018-1504
(917) 947-9958
Mailing address
3739 84TH ST APT 41, JACKSON HEIGHTS, NY 11372-7205
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
002436
NY
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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