Individual
MISS ODALIS MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22205 56TH AVE # MC09, BAYSIDE, NY 11364-1432
(917) 645-6592
Mailing address
22205 56TH AVE # MC09, BAYSIDE, NY 11364-1432
(917) 645-6592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026642-01
NY
Other
Enumeration date
02/01/2023
Last updated
01/15/2026
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