Individual
MELIZA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
20 JERUSALEM AVE, HICKSVILLE, NY 11801-4980
(516) 326-2020
(516) 719-7373
Mailing address
20 JERUSALEM AVE, HICKSVILLE, NY 11801-4980
(540) 394-5341
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
741279
NY
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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