Individual
COURTNEY LYNN MELONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1000
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1329
(212) 570-6147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015012-1
NY
363A00000X
Physician Assistant
25MP00267300
NJ
Other
Enumeration date
09/28/2011
Last updated
03/29/2021
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