Individual
MARIA MELODY S. SMALLRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
622 SCHENECTADY AVE, BROOKLYN, NY 11203-1821
(732) 829-9809
Mailing address
59 MCARTHUR AVE, STATEN ISLAND, NY 10312-1924
(917) 578-6492
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308374-1
NY
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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