Individual
MELANIE ANN VAN SISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MAIN ST, SUITE 2, SETAUKET, NY 11733
(631) 751-9595
(631) 751-2322
Mailing address
45 RESEARCH WAY STE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2125
(631) 675-2624
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
274136
NY
Other
Enumeration date
03/26/2010
Last updated
07/03/2018
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