Individual
DR. JANINE ALIYA TIAGO DE MELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1651 THIRD AVE, SUITE 201, NEW YORK, NY 10128
(212) 427-4044
Mailing address
51 SEVENTH AVE SOUTH, APT 5C, NEW YORK, NY 10014
(212) 366-9349
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0139751
NY
103TC0700X
Clinical Psychologist
0139751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02151206
—
NY
Enumeration date
11/29/2006
Last updated
09/11/2025
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