Individual
MELYSA TEKLA MARKUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8448 KEW GARDENS RD, KEW GARDENS, NY 11415-2210
(716) 901-3213
Mailing address
8448 KEW GARDENS RD, KEW GARDENS, NY 11415-2210
(716) 901-3213
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
019999
NY
Other
Enumeration date
09/02/2015
Last updated
11/20/2015
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