Individual
MELISSA KONIKOFF-SCHUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 OHIO DRIVE, SUITE 201, LAKE SUCCESS, NY 11042-1129
(516) 328-8700
(516) 224-1540
Mailing address
6 OHIO DRIVE, SUITE 201, LAKE SUCCES, NY 11042-1129
(516) 328-8700
(516) 224-1540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3706
NY
Other
Enumeration date
12/28/2015
Last updated
03/09/2021
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