Individual
CHRISTINA A MELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
77 MEDFORD AVE, PATCHOGUE, NY 11772-1281
(631) 758-1910
(631) 758-1984
Mailing address
712 MAIN ST, ISLIP, NY 11751-3620
(631) 666-3951
(631) 750-1177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042434
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042434
LICENSE
NY
05
—
PENDING
—
NY
Enumeration date
11/21/2017
Last updated
11/21/2017
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