Individual
MELANIE T DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16101 89TH AVE, JAMAICA, NY 11432-3902
(718) 262-8190
Mailing address
112 MAUJER ST, BROOKLYN, NY 11206-1162
(347) 556-1405
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/12/2015
Last updated
12/09/2025
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