Individual
CHRISTINA MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
310 ARTIST LAKE DR, MIDDLE ISLAND, NY 11953-2324
(516) 647-7107
(631) 775-8718
Mailing address
310 ARTIST LAKE DR, MIDDLE ISLAND, NY 11953-2324
(516) 647-7107
(631) 775-8718
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275045-1
NY
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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