Individual
DANIELLE MELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0323
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0323
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306214
NY
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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