Individual
MELANIE PERLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDE, RD, MS
Contact information
Practice address
285E MAIN ST 105, SMITHTOWN, NY 11787-2912
(631) 509-0390
(631) 656-0875
Mailing address
27005 76TH AVE, T457A, NEW HYDE PARK, NY 11040-1402
(516) 470-5482
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1026400
NY
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
08/26/2014
Last updated
07/09/2015
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