Individual
MRS. MELISSA ASHLEY FENGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
Mailing address
364 OAKWOOD AVE, WEST ISLIP, NY 11795-2913
(631) 680-0359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
585449-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
306510
NY
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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