Individual
MELVICE LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 390-6544
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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