Individual
MELISSA JEAN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
478 COUNTY ROAD 16, PLYMOUTH, NY 13832
(607) 643-2129
(607) 373-4009
Mailing address
PO BOX 156, PLYMOUTH, NY 13832-0156
(607) 316-2279
(607) 373-4009
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
323226-1
NY
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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