Individual
MIROSLAV OLEG MELNICHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(952) 288-9667
Mailing address
7767 OSWEGO RD, LIVERPOOL, NY 13090-2322
(952) 288-9667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003335-01
NY
Other
Enumeration date
04/24/2018
Last updated
03/13/2024
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