Individual
MELISSA O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
2075 NEW YORK AVE, HUNTINGTON STATION, NY 11746
(631) 351-7112
Mailing address
120 ABBOTT DR, HALESITE, NY 11743-2127
(631) 678-8614
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001520
NY
Other
Enumeration date
02/13/2012
Last updated
12/10/2018
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