Individual
STEFANIE ELIZABETH MELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 476-2830
Mailing address
62 OWEN CIR, SELDEN, NY 11784-3200
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
734407-1
NY
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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